Max Life Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAX LIFE PHARMACY INC

Practice address

2794 Frederick Douglass Blvd
New York, NY 10039-3012

Phone

(646) 922-7750

Fax

(646) 922-7748

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Laurence Mensah, RPH

Title

Pharmacist in-Charge

Phone

(732) 857-5889

Specialties & licenses 1

Addresses

Other names 1

• ATLAS PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1831845726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393012",
            "telephone_number": "646-922-7750",
            "fax_number": "646-922-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393012",
            "telephone_number": "646-922-7750",
            "fax_number": "646-922-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX LIFE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE",
        "authorized_official_telephone_number": "732-857-5889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "MAXLIFERX7@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL COMMUNICATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2794 Frederick Douglass Blvd",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100393012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ATLAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATLAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Mavronicolas
• Dana Lynn Mavrovich, O.D.
• Kristina N Mavrovich, M.S., CCC-SLP, TSSLD
• Nicole Anne Mawhirter, PT, DPT
• Thomas Mawson, MD
• Max Malitzky LLC
• Max Pierre Francois, MD, PC
• Max-Health Chiropractic of New York PC
• Naomi Max, MSW
• Peter Maxa, P.T.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.