Port Jervis Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
Port Jervis Pharmacy Llc is a Community/Retail Pharmacy in Port Jervis, New York. It is located at 15 Jersey Ave, Port Jervis and it's customer support contact number is 845-856-6681. The authorized person of Port Jervis Pharmacy Llc is Chirag Modi, R.PH. who is Owner of the pharmacy and his contact number is 734-377-2584.Port Jervis Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Port Jervis Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Port Jervis Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Port Jervis Pharmacy Llc
Type:
Community/Retail Pharmacy
Location:
15 Jersey Ave, Port Jervis, New York, 12771-2436
Phone:
845-856-6681
Fax:
845-856-6532
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Chirag Modi
Credentials:
R.PH.
Position:
Owner
Contact Number:
734-377-2584
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053426098
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Port Jervis Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Pharmacy
024124
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3374496
Other
Other Id Number-commercial Number
01879923
Medicaid
New York
Medicare Enrollment:
Port Jervis Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9335260876
O20100930020040
Jakris Inc
DME SUPPLIER - PHARMACY
9335260876
O20150910000309
Jakris Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Port Jervis Pharmacy Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Heat & Cold Applications
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Surgical Dressings
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15 Jersey Ave, Port Jervis, New York
Zip:
12771-2436
Phone Number:
--
Fax Number:
--
Patients can reach Port Jervis Pharmacy Llc at 15 Jersey Ave, Port Jervis, New York or can call on customer care at 845-856-6681.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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