MB&T Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MB&T PHARMACY INC

Doing business as

MB&T Pharmacy

Practice address

2343 Forest Avenue
Suite 8
Staten Island, NY 10303

Phone

(718) 237-2033

Fax

(718) 273-8263

NPI assigned

May 2, 2022

Last updated

May 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Boris Royzen, PHARM DNPI 1518292416

Title

Principal

Phone

(718) 288-1369

Specialties & licenses 1

Addresses

Other names 1

• MB&T Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

MBT Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MB&T Pharmacy Inc

  dba MB&T Pharmacy ltc

  • Long Term Care Pharmacy
  • Staten Island, NY
  • NPI 1407690183
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris Royzen, PHARM D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1518292416
  Authorized official Same address or phone
• Mudasar Khan

  • Pharmacist
  • Staten Island, NY
  • NPI 1427575257
  NPD
• Yong Zhao

  • Pharmacist
  • Staten Island, NY
  • NPI 1851259279
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1053056374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 FOREST AVENUE",
            "address_2": "SUITE 8",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "718-237-2033",
            "fax_number": "718-273-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 FOREST AVENUE",
            "address_2": "SUITE 8",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "718-237-2033",
            "fax_number": "718-273-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB&T PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "ROYZEN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "718-288-1369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MB&T Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Mazzolla, M.S.W.
• Anthony Mazzone
• Jillian Mazzone
• Sandra Beth Mazzucco, M.A. CCC-SLP
• Brianna Mazzullo, CASAC-T
• MB&T Pharmacy Inc (MB&T Pharmacy ltc)
• Adjoa A Mbamalu, RN
• MBD Care LLC
• Mbip Podiatry P.C. (Forward Foot & Ankle Associates)
• Imelda Mbock M, MD

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.