Myven Wellness Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MYVEN WELLNESS CORP.

Practice address

3535B Junction Blvd
Corona, NY 11368-3517

Phone

(718) 779-8050

Fax

(718) 779-8053

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Atef M. Ibrahim

Title

Corp. President

Phone

(718) 779-8050

Specialties & licenses 1

Addresses

Other names 1

• Myven Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1326503186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535B JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683517",
            "telephone_number": "718-779-8050",
            "fax_number": "718-779-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535B JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683517",
            "telephone_number": "718-779-8050",
            "fax_number": "718-779-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYVEN WELLNESS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ATEF",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CORP. PRESIDENT",
        "authorized_official_telephone_number": "718-779-8050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myven Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Myven Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shikha Patel Muni, DO
• Jeysiyareth Mariana Munoz-Abarca
• Artur Albertovich Mushyakov, MD
• My Care NP in Adult Health PLLC
• Myven Pharmacy Corp.
• Marukh Naeem
• Bindi Kunal Naik
• Roy Naipaul, DCSW
• Bracha Namdar, O.D.
• Amir Naser, PHARMD

• Community/Retail Pharmacy in Corona, NY
• Providers in Corona, 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 Feb 7, 2020; 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.