Mott Haven Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032644 Issued in NY

Legal business name

MOTT HAVEN PHARMACY INC

Doing business as

motthaven pharmacy & surgical

Practice address

400 E 141St St
Bronx, NY 10454-2212

Phone

(718) 292-9144

Fax

(718) 292-9145

NPI assigned

Oct 16, 2013

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amit Patel

Title

President

Phone

(718) 292-9144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• motthaven pharmacy & surgical Doing business as

Locations

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1609204346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 141ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542212",
            "telephone_number": "718-292-9144",
            "fax_number": "718-292-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 141ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542212",
            "telephone_number": "718-292-9144",
            "fax_number": "718-292-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTT HAVEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-292-9144"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "motthaven pharmacy & surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meena Kumarie Moteelall, M.D.
• Crystal Ashlee Mothersill
• Motion Chiropractic PC
• Motion Matrix Physical Therapy PLLC
• Mott Haven Medical of New York LLC
• Mott Haven Phcy and Surgicals
• Mott Haven Prescription Inc
• Mott Haven Professional Medical of New York LLC
• Mott Haven RX Inc
• Sabrina C Motta, MS, CCC-SLP

• 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 Mar 26, 2015; 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.