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AMATO PHARMACY INC
DSH330127 JACOBI MEDICAL CENTER (NYCHHC)
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Covered Entity Details
Entity Name
JACOBI MEDICAL CENTER (NYCHHC)
Subdivision Name
FORMERLY BRONX MUNICIPAL HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH330127
Entity Address
1400 PELHAM PKWY SOUTH
BRONX, NY 10461
Medicare Provider Number
330127
Participating Start Date
12/1/1992
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
AMATO PHARMACY INC
Pharmacy Address
619 E 187TH ST
BRONX, NY 10458-6706
Pharmacy Comments
Contract Details
Approval Date
4/10/2013
Contract Begin Date
4/10/2013
Carve-In Effective Date
Contract Comments
04/10/2013 - Public health emergency declared in NY effective 10/27/2012
Contract Termination Date
Termination Reason
2/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479
Contract Pharmacy Representative
Tony Sementilli, Owner
(718) 933-9900
Signed By Date
4/10/2013
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