OrganizationBright St. Pharmacy & Mini Market Llc(<Unavail>)PharmacySuppliersPractice Address2800 John F Kennedy Blvd, Jersey City, NJ 07306-5402(201) 333-9900PECOS EnrollmentBased on the most recent information from CMS, provider Bright St. Pharmacy & Mini Market Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376021188Provider TypeOrganizationFull NameBright St. Pharmacy & Mini Market LlcOther Name<Unavail>SubpartNoEnumeration Date8/2/2018Last Updated10/8/2021Contact InformationPractice LocationPractice Address2800 John F Kennedy Blvd, Jersey City, NJ 07306-5402Phone(201) 333-9900Fax(201) 333-9004Mailing LocationMailing Address2800 John F Kennedy Blvd, Jersey City, NJ 07306-5402Phone(201) 333-9900Fax(201) 333-9004Authorized OfficialNameChaudhry, Aatika (Owner)Phone(862) 368-1966Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00765800New JerseyProvider IdentifiersIDDescriptionIssuerID8869227DescriptionMedicaidIssuerUnlistedNew Jersey