904 Prospect Pharmacy Inc
NPI 1043307242 · Long Term Care Pharmacy · Bronx, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
904 Prospect Pharmacy Inc is a Long Term Care Pharmacy organization in Bronx, NY (NPI 1043307242).
Provider details
- NPI number
- 1043307242
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacob Jamron, Ceo(718) 991-6700
- License
- 027296 (NY)
Specialties & taxonomies
Suppliers
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boca Pharmacy
- Doing business as
- Boca Pharmacy
Registry dates
- Enumerated
- 2006-10-07
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is 904 Prospect Pharmacy Inc's NPI number?
- 904 Prospect Pharmacy Inc's National Provider Identifier (NPI) is 1043307242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 904 Prospect Pharmacy Inc?
- 904 Prospect Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is 904 Prospect Pharmacy Inc located?
- 904 Prospect Pharmacy Inc's practice location on file with NPPES is 904 Prospect Ave, Bronx, NY 10459-3929.
- What is 904 Prospect Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for 904 Prospect Pharmacy Inc is (718) 991-6700.
- Does 904 Prospect Pharmacy Inc accept Medicare?
- 904 Prospect Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 904 Prospect Pharmacy Inc?
- The authorized official listed on 904 Prospect Pharmacy Inc's NPPES record is Jacob Jamron, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 904 Prospect Pharmacy Inc's NPI active?
- Yes — 904 Prospect Pharmacy Inc's NPI (1043307242) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.