Individual ProviderJustin AndradePharmacistPharmacy Service ProvidersPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425(914) 433-3350PECOS EnrollmentBased on the most recent information from CMS, provider Justin Andrade 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 4 days ago.Profile DetailsProvider ID1205497831Provider TypeIndividualFull NameAndrade, JustinCredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date6/25/2019Last Updated6/25/2019Contact InformationPractice LocationPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425Phone(914) 433-3350FaxUnlisted FaxMailing LocationMailing Address280 Ashland Pl Apt 314, Brooklyn, NY 11217-4268Phone(914) 433-3350FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense064731New YorkProvider IdentifiersIDDescriptionIssuerID04051993DescriptionOtherIssuerNPI