Active NPI
MVM Pharmacy Inc.
Doing business as port morris pharmacy
- Pharmacy
- Bronx, NY
National Provider Identifier
1821238288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 046546-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald Mohammed, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241113001562 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800096132 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Bronx, NY
- NPI 1376791780
-
- Pharmacist
- Somerset, NJ
- NPI 1184754350
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.