Mina Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MINA PHARMACY LLC

Practice address

1768 E 172ND St # 6
Bronx, NY 10472-2207

Phone

(929) 207-4142

Fax

(718) 255-1046

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Brendalis Antigua

Title

Ceo-Founder

Phone

(929) 207-4142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1568193035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 E 172ND ST # 6",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 E 172ND ST # 6",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722207",
            "telephone_number": "929-207-4142",
            "fax_number": "718-255-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "ANTIGUA",
        "authorized_official_first_name": "BRENDALIS",
        "authorized_official_title_or_position": "CEO-FOUNDER",
        "authorized_official_telephone_number": "929-207-4142"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Milstein, MD
• Mark J Milstein, MD
• Assi Milwidsky, MD
• Ivie Mims
• Jin Hong Min, DO
• Vanessa Aminda Minagro, OTR
• Grace Y Minamoto, MD
• Lawrence Minarik, M.D.
• Marlene Minarik, PA-C
• Katherine Ayleen Minaya Carbonell

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 Jun 23, 2022; 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.