Organization
JNR PHARMACY CORP
Active
Other names
jnr pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE A RESTREPO RPH (PRESIDENT)
(845) 278-8200
Entity
Organization
Contact information
Practice address
2505 CARMEL AVE, ROUTE 6, BREWSTER, NY 10509-1155
(845) 278-8200
(845) 278-4340
Mailing address
2505 CARMEL AVE, ROUTE 6, BREWSTER, NY 10509-1155
(845) 278-8200
(845) 278-4340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
024990
NY
3336C0003X
Community/Retail Pharmacy
024990
NY
3336C0004X
Compounding Pharmacy
024990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02159020
—
NY
Enumeration date
11/29/2006
Last updated
09/11/2025
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