Mt Prospect Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MT PROSPECT PHARMACY CORP

Practice address

654 Mount Prospect Ave
Newark, NJ 07104-3110

Phone

(862) 240-9601

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Aqsa Khan

Title

Owner

Phone

(862) 240-9601

Specialties & licenses 1

Addresses

Other names 1

• Mt Prospect Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Jason Haiyang Hu

  • Pharmacist
  • Somerset, NJ
  • NPI 1164972386
  NPD

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1609350412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "862-240-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PROSPECT PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AQSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-240-9601"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Prospect Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Joanna-Marie Mozia, LSW
• Mrs. Oddie'S Social Day Care Center
• Mt Carmel Guild Behavioral Healthcare
• Mt Prospect Pharmaceutical Services Inc
• Mt Prospect Pharmaceutical Services Inc
• Mt Prospect Pharmacy Corp
• Mt. Carmel Guild - Pact
• Mt. Carmel Guild Engle Center
• Derya Mucahit, DO
• Rohan R Muchintala

• All providers in Newark, NJ
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.