Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

904 Prospect Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1043307242

904 Prospect Pharmacy Inc is a Community/Retail Pharmacy in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

904 Prospect Ave
Bronx, NY 10459-3929
Phone: (718) 991-6700
Fax: (718) 874-1378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 027296 (NY)
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1043307242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Jamron — Ceo · (718) 991-6700
Other names Boca Pharmacy; Boca Pharmacy
NPI enumeratedOctober 7, 2006
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing addressPo Box 740054, Bronx, NY 10474-0001

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