NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

904 Prospect Pharmacy Inc

Long Term Care Pharmacy in Bronx, NY · enumerated 2006 · authorized official Jacob Jamron, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043307242

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name 904 Prospect Pharmacy Inc
Other name <Unavail>
Practice address 904 Prospect Ave, Bronx, NY, 10459
Phone (718) 991-6700
Fax (718) 874-1378
Enumeration date Oct 7, 2006
Last updated in NPPES Jul 30, 2025

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 027296 (NY) Secondary
3336L0003X Long Term Care Pharmacy Suppliers Primary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Jacob Jamron
Title Ceo
Phone (718) 991-6700

Other identifiers

Identifier Type State Issuer
2664726 Medicaid NY -
2064042 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is 904 Prospect Pharmacy Inc located?
The practice location on file with NPPES is in Bronx, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-30.