Provider Demographics
NPI:1598252769
Name:A.J.A.J. INC
Entity Type:Organization
Organization Name:A.J.A.J. INC
Other - Org Name:WESTRIVER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:VENIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-457-3351
Mailing Address - Street 1:66 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2772
Mailing Address - Country:US
Mailing Address - Phone:914-457-3351
Mailing Address - Fax:888-457-9332
Practice Address - Street 1:66 MAIN ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2772
Practice Address - Country:US
Practice Address - Phone:914-457-3351
Practice Address - Fax:888-457-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0358303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177100OtherPK