MLK Pharmacy,Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

020626 Issued in NY

Legal business name

MLK PHARMACY,INC

Practice address

568 W 125TH St
New York, NY 10027-3407

Phone

(212) 666-6060

Fax

(212) 663-2072

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dinesh D Shah, M.S

Title

President

Phone

(212) 666-6060

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063576163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273407",
            "telephone_number": "212-666-6060",
            "fax_number": "212-663-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273407",
            "telephone_number": "212-666-6060",
            "fax_number": "212-663-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLK PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-666-6060",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "020626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01203070",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3396947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Mladinich
• Anthony Mladinov, R.PH.
• Mutsa Mlambo
• Mina Mleik, PA-C
• Valentina Lilian Mlikota
• Emily Mlot, CRNA
• Avram Mlotek
• Agnieszka Mlynarska, LAC
• Eva I Mlynaryk, RPH
• MM Podiatry Care P.C.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.