Mount Sinai Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MOUNT SINAI PHARMACY INC

Practice address

720A E Tremont Ave
Bronx, NY 10457-5002

Phone

(347) 879-8070

Fax

(347) 879-8072

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Grigori Ilyaew

Title

President

Phone

(347) 879-8070

Specialties & licenses 2

Addresses

Other names 1

• MOUNT SINAI PHARMACY Doing business as

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700301744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575002",
            "telephone_number": "347-879-8070",
            "fax_number": "347-879-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575002",
            "telephone_number": "347-879-8070",
            "fax_number": "347-879-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ILYAEW",
        "authorized_official_first_name": "GRIGORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-879-8070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT SINAI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe Mouawad
• Rita Moukarzel, MD
• Jenna Mould, FNP
• Thomas A Moulton, MD
• Soumana Mounkaila
• Mount Vernon Hospital
• Mount Vernon Precision Medical, P.C
• Adrienne Marie Mountis-Bauer, RD, CDN
• Rinda Mousa, MBBCH
• Arameh Mousakhanian, MD

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.