Jrj Raisell Pharmacy Drug Corp
NPI 1871072579ActiveOrganization· Pharmacy· Bronx, NY
Pharmacy in Bronx, New York, registered in NPPES in August 2018. The authorized official on file is Jose Luis Susana, President. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1871072579 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2018 |
| Last updated in NPPES | Dec 5, 2024 |
| Certified by provider | Dec 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Pharmacy (NY) |
|---|
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