NPIMap

Organization Active NPI

Ben-Tal Pharmacy Services, Inc.

Doing business as MMP Pharmacy

  • Clinic Pharmacy
  • Bronx, NY
National Provider Identifier
1528091220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
025192 Issued in NY
Legal business name
BEN-TAL PHARMACY SERVICES, INC.
Doing business as
MMP Pharmacy
Practice address
1515 Blondell Ave
Bronx, NY 10461-2601
Phone
(718) 239-9808
Fax
(718) 239-3523
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gina Hunt
Title
Senior VP Corporate Revenue
Phone
(954) 653-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 025192 NY Primary

Addresses

Primary practice location

1515 Blondell Ave
Bronx, NY 10461-2601

Mailing address

1515 Blondell Ave
Bronx, NY 10461-2601
Phone (718) 239-9808

Other identifiers 1

IdentifierTypeStateIssuer
02190196MedicaidNY

Other names 1

  • MMP Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ben-Tal Pharmacy Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528091220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BLONDELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612601",
            "telephone_number": "718-239-9808",
            "fax_number": "718-239-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BLONDELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612601",
            "telephone_number": "718-239-9808",
            "fax_number": "718-239-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-TAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SENIOR VP CORPORATE REVENUE",
        "authorized_official_telephone_number": "954-653-1040"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "025192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02190196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMP Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.