MB&T Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MB&T PHARMACY INC

Practice address

2343 Forest Ave Ste 8
Staten Island, NY 10303-1511

Phone

(718) 273-2033

Fax

(718) 273-8263

NPI assigned

Jun 19, 2024

Organization subpart

Yes

Parent organization

333600000XAs reported in NPPES

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

Authorized official

Name

Dr. Mudasar KhanNPI 1427575257

Title

Supervising Pharmacist

Phone

(347) 831-8240

Specialties & licenses 1

Addresses

Other names 1

• MB&T Pharmacy ltc Doing business as

Tax ID family

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

Part of

MBT Pharmacy Inc

Other organizations with this tax ID 1

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

• MB&T Pharmacy Inc

  • Community/Retail Pharmacy
  • Staten Island, NY
  • NPI 1053056374
  NPD tax ID

Locations

Practitioners 2

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

• Mudasar Khan

  • Pharmacist
  • Staten Island, NY
  • NPI 1427575257
  NPD Authorized official
• 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": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1407690183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 FOREST AVE STE 8",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031511",
            "telephone_number": "718-273-2033",
            "fax_number": "718-273-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 FOREST AVE STE 8",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031511",
            "telephone_number": "718-273-2033",
            "fax_number": "718-273-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB&T PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "333600000X",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUDASAR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-831-8240",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MB&T Pharmacy ltc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Mazzone
• Jillian Mazzone
• Sandra Beth Mazzucco, M.A. CCC-SLP
• Brianna Mazzullo, CASAC-T
• MB&T Pharmacy Inc
• Adjoa A Mbamalu, RN
• MBD Care LLC
• Mbip Podiatry P.C.
• Imelda Mbock M, MD
• Yolande Engome Mbome, MD

• Long Term Care Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.