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

Port Jervis Pharmacy LLC

Organization Pharmacy · NPI 1053426098

Port Jervis Pharmacy LLC is a Pharmacy in Port Jervis, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15 Jersey Ave
Port Jervis, NY 12771-2436
Phone: (845) 856-6681
Fax: (845) 856-6532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X · Licence 024124 (NY)

Record details

NPI number1053426098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chirag Modi — Owner · (734) 377-2584
Other names Medicine Shoppe; Port Jervis Pharmacy
NPI enumeratedAugust 20, 2006
Last updated in NPPESMarch 7, 2023
Mailing address15 Jersey Ave, Port Jervis, NY 12771-2436