Organization Active NPI

Mr M Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1710407614
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035603 Issued in NY
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

Updated by the provider on Nov 11, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2170572OtherPK

Other names 1

  • 99 Cents Top Grade Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.