RL Mt Vernon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031872 Issued in NY

Legal business name

RL MT VERNON PHARMACY INC

Doing business as

RL Mt. Vernon Pharmacy Inc.

Practice address

107 W 4TH St
Mount Vernon, NY 10550-4002

Phone

(914) 699-0235

Fax

(914) 699-3540

NPI assigned

Jun 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William EisenmanNPI 1467767327

Title

Supervising Pharmacist

Phone

(914) 699-0235

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RL Mt. Vernon Pharmacy Inc. Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Westchester Community Pharmacy Inc

  • Community/Retail Pharmacy
  • Mount Vernon, NY
  • NPI 1447017041

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William James Eisenman, PHARMD

  • Pharmacist
  • Mount Vernon, NY
  • NPI 1467767327
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1023456167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504002",
            "telephone_number": "914-699-0235",
            "fax_number": "914-699-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504002",
            "telephone_number": "914-699-0235",
            "fax_number": "914-699-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL MT VERNON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "EISENMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "914-699-0235"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031872",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3702072",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RL Mt. Vernon Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Rivera
• Jillian Rivera
• Lillian Rivera, MS CCC-SLP
• Louis Mnauel Rivera Jr., VS
• Lisa Maria Riversaustin, MS,CCC-SLP
• Jean Roberts-Lopez, MA, CCC-SLP
• Doxene L Roberts, LCSW
• Kizhaya A Roberts
• Alphonso Robinson, LCSW
• Angel Robinson

• Community/Retail Pharmacy in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.