Organization Active NPI

MVHS Inc

Doing business as Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
National Provider Identifier
1306573753
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MVHS INC
Doing business as
Mohawk Valley Health System Inc
Practice address
601 State St Ste T103.1
Utica, NY 13502-4208
Phone
(315) 917-9220
NPI assigned
Aug 5, 2022
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Cody White
Title
Avp Revenue Cycle
Phone
(315) 801-4429

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

601 State St Ste T103.1
Utica, NY 13502-4208

Mailing address

2215 Genesee St
Utica, NY 13501-5930
Phone (315) 801-4238

Other names 1

  • Mohawk Valley Health System Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221205000926 NY DME Supplier - Pharmacy 2769380252 Practice locations: Utica, NY
O20230627000105 NY Part B Supplier - Pharmacy 2769380252 Practice locations: Utica, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
MVHS Inc601 State St, Utica, NY 13502-4208(315) 624-6929 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 4, 2018

National Provider Directory

National Provider Directory
Tax ID family
Faxton St Lukes Ilion5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

7980 State Route 12
Barneveld, NY 13304
Phone (315) 624-8440

295 W Main St
Ilion, NY 13357
Phone (315) 894-3132

1714 Burrstone Rd
New Hartford, NY 13413
Phone (315) 624-6227

8411 Seneca Tpke
New Hartford, NY 13413
Phone (315) 624-8500

131 Main St
Ste 101
Oneida, NY 13421
Phone (315) 366-0360

116 Business Park Dr
Utica, NY 13502
Phone (315) 624-7000

1658 Champlin Ave
Utica, NY 13502

1658 Champlin Ave
Ste 224
Utica, NY 13502
Phone (315) 624-6044

601 State St
Ste T1031
Utica, NY 13502
Phone (315) 624-6929

Practitioners & affiliated clinicians

Practitioners 668

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.

View all 668

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1306573753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ST STE T103.1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024208",
            "telephone_number": "315-917-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVHS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-09-02",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "AVP REVENUE CYCLE",
        "authorized_official_telephone_number": "315-801-4429"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohawk Valley Health System Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.