OrganizationActiveAccepts Medicare
Jefferson Pharma LLC
NPI 1487911368 · Community/Retail Pharmacy · Bronx, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1487911368
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ravinder Annamaneni, Member(929) 777-9108
- License
- 031367 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3058 3rd Ave
Bronx, NY 10451-4605
Phone: (929) 777-9108
Fax: (929) 777-9109
Street-level locationGet directions
Mailing address
3058 3rd Ave
Bronx, NY 10451-4605
Other names (DBA / former)
- Doing business as
- Feel Good Pharmacy
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2022-02-02
- Certified
- 2022-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.