Provider Demographics
NPI:1669510301
Name:JOSEPH REINA PHARMACY, INC.
Entity Type:Organization
Organization Name:JOSEPH REINA PHARMACY, INC.
Other - Org Name:JRX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:REINA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:718-366-0626
Mailing Address - Street 1:6515 FRESH POND RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-3332
Mailing Address - Country:US
Mailing Address - Phone:718-366-0626
Mailing Address - Fax:718-366-1909
Practice Address - Street 1:6515 FRESH POND RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-3332
Practice Address - Country:US
Practice Address - Phone:718-366-0626
Practice Address - Fax:718-366-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028156332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies