Active NPI
Mr M Pharmacy Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1710407614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 035603
- Legal business name
- MR M PHARMACY INC
- Practice address
- 1903 Story Ave
Bronx, NY 10473-2705 - Phone
- (718) 822-2905
- Fax
- (718) 822-2924
- NPI assigned
- Jun 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Molkandow
- Title
- President
- Phone
- (718) 822-2905
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 035603 | NY | Primary |
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1903 Story Ave
Bronx, NY 10473-2705
Mailing address
1903 Story Ave
Bronx, NY 10473-2705
Phone (718) 822-2905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2170572 | Other | PK |
Other names 1
- 99 Cents Top Grade
National Provider Directory
National Provider DirectoryLocations
1903 Story Ave
Bronx, NY 10473
Phone (718) 822-2905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605052800000",
"number": "1710407614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 STORY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104732705",
"telephone_number": "718-822-2905",
"fax_number": "718-822-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 STORY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104732705",
"telephone_number": "718-822-2905",
"fax_number": "718-822-2924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MR M PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-21",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A",
"authorized_official_last_name": "MOLKANDOW",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-822-2905"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "035603",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2170572",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "99 Cents Top Grade",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 11, 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.