- Practice location
- 1030 Westchester Ave, Bronx, NY 10459-2415
- Phone
- 718-618-7878
- Fax
- 718-701-0226
- Last updated
- June 23, 2026
1070 Southern Drug LLC is a healthcare organization based in Bronx, NY. 1070 Southern Drug LLC practices in Bronx, NY. The NPI Number for 1070 Southern Drug LLC is 1497152706 and holds a License No. 033179 (NY). The current practice location address for 1070 Southern Drug LLC is 1030 Westchester Ave, Bronx, NY 10459-2415 and can be reached out via phone at 718-618-7878 and via fax at 718-701-0226.
Provider Profile Details
- NPI Number
- 1497152706
- Provider Name
- 1070 Southern Drug LLC
- Provider Entity Type
- Organization
- Address
- 1030 Westchester Ave, Bronx, NY 10459-2415
- Phone Number
- 718-618-7878
- Fax Number
- 718-701-0226
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Jacob Jamron · Ceo · 718-991-6700
- Other Names
- Boca Pharmacy (Doing Business As)
- Provider Enumeration Date
- December 2, 2014
- Last Update Date
- June 23, 2026
- Certification Date
- June 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1030 Westchester Ave
Bronx, NY 10459-2415 - City
- Bronx
- State
- New York
- Zip
- 10459-2415
- Phone Number
- 718-618-7878
- Fax Number
- 718-701-0226
Provider Business Mailing Address Details
- Address
- Po Box 740054
Bronx, NY 10474-0001 - City
- Bronx
- State
- NY
- Zip
- 10474-0001
- Phone Number
- 718-618-7878
- Fax Number
- 718-701-0226
License Information
- License Number (1)
- 033179
- License State (1)
- NY
- Taxonomy (1)
- Pharmacy · 333600000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 1070 Southern Drug LLC?
The NPI number of 1070 Southern Drug LLC is 1497152706. It was assigned on December 2, 2014 and is currently active in the NPPES registry.
What is the specialty of 1070 Southern Drug LLC?
1070 Southern Drug LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NY under license number 033179.
Where does 1070 Southern Drug LLC practice?
The practice location is 1030 Westchester Ave, Bronx, NY 10459-2415. The office can be reached at 718-618-7878 (phone) or 718-701-0226 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497152706 directly on the NPPES registry website.