Organization Active NPI

MVM Pharmacy Inc.

Doing business as port morris pharmacy

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1821238288
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
046546-1 Issued in NY
Legal business name
MVM PHARMACY INC.
Doing business as
port morris pharmacy
Practice address
800 E 138TH St
Bronx, NY 10454-1902
Phone
(718) 665-6337
Fax
(347) 689-1695
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mr. Ronald Mohammed, RPHNPI 1376791780
Title
Pharmacist
Phone
(917) 548-3349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 046546-1 NY Primary

Addresses

Primary practice location

800 E 138TH St
Bronx, NY 10454-1902

Mailing address

800 E 138TH St
Bronx, NY 10454-1902
Phone (718) 665-6337

Other names 1

  • port morris pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113001562 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6800096132 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

800 E 138th St
Bronx, NY 10454
Phone (718) 665-6337

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1821238288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541902",
            "telephone_number": "718-665-6337",
            "fax_number": "347-689-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541902",
            "telephone_number": "718-665-6337",
            "fax_number": "347-689-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVM PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "917-548-3349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "046546-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "port morris pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2009; 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.