Individual ProviderJustin George ThomasPharmacistPharmacy Service ProvidersPractice Address1381 Saint Nicholas Ave, New York, NY 10033-4001(212) 928-7263(516) 726-0840PECOS EnrollmentBased on the most recent information from CMS, provider Justin George Thomas 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 11 days ago.Profile DetailsProvider ID1528617032Provider TypeIndividualFull NameThomas, Justin GeorgeCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date9/6/2019Last Updated7/14/2022Contact InformationPractice LocationPractice Address1381 Saint Nicholas Ave, New York, NY 10033-4001Phone(212) 928-7263FaxUnlisted FaxMailing LocationMailing Address107 Leonard Blvd, New Hyde Park, NY 11040-4016Phone(516) 726-0840FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense063661New York