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Port Jervis Pharmacy LLC

Community/Retail Pharmacy in Port Jervis, NY · enumerated 2006 · authorized official Chirag Modi, Owner.

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

National Provider Identifier

1053426098

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Registry record

Entity type Organization (Type 2)
Legal business name Port Jervis Pharmacy LLC
Other name <Unavail>
Practice address 15 Jersey Ave, Port Jervis, NY, 12771
Phone (845) 856-6681
Fax (845) 856-6532
Enumeration date Aug 20, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

333600000X Pharmacy Suppliers · License 024124 (NY) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Chirag Modi
Title Owner
Phone (734) 377-2584

Other identifiers

Identifier Type State Issuer
3374496 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
01879923 Medicaid NY -

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.

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Frequently asked questions

Where is Port Jervis Pharmacy LLC located?
The practice location on file with NPPES is in Port Jervis, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.