Mott Haven RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOTT HAVEN RX INC

Practice address

400 E 141St St
Bronx, NY 10454-2212

Phone

(718) 292-9144

Fax

(718) 292-9145

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By 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

Mrs. Jagruti Patel

Title

President

Phone

(718) 292-9144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1780035105",
    "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 RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGRUTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-292-9144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mott Haven Medical of New York LLC
• Mott Haven Pharmacy Inc (motthaven pharmacy & surgical)
• Mott Haven Phcy and Surgicals
• Mott Haven Prescription Inc
• Mott Haven Professional Medical of New York LLC
• Sabrina C Motta, MS, CCC-SLP
• Joe Mouawad
• Rita Moukarzel, MD
• Jenna Mould, FNP
• Thomas A Moulton, MD

• 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 Jun 27, 2016; 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.