Organization Active NPI

M & N Pharmacy Corp

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1902897093
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023081 Issued in NY
Legal business name
M & N PHARMACY CORP
Doing business as
VICTOR PHARMACY
Practice address
662 Morris Park Ave
Bronx, NY 10462-3503
Phone
(718) 597-3380
Fax
(718) 597-0094
NPI assigned
Oct 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mr. Mahmoud H Tehfe, RPHNPI 1720079817
Title
Owner
Phone
(718) 597-3380

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 023081 NY Primary

Addresses

Primary practice location

662 Morris Park Ave
Bronx, NY 10462-3503

Mailing address

662 Morris Park Ave
Bronx, NY 10462-3503
Phone (718) 597-3380

Other identifiers 1

IdentifierTypeStateIssuer
01672586MedicaidNY

Other names 1

  • VICTOR PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930007330 NY DME Supplier - Pharmacy 8628199098 Practice locations: Bronx, NY
O20220610000247 NY Part B Supplier - Pharmacy 8628199098 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
M & N Pharmacy Corp662 Morris Park Ave, Bronx, NY 10462-3503(718) 597-3380 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2000

National Provider Directory

National Provider Directory

Locations

662 Morris Park Ave
Bronx, NY 10462
Phone (718) 597-3380

Practitioners & affiliated clinicians

Practitioners 3

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": "1130544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1902897093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623503",
            "telephone_number": "718-597-3380",
            "fax_number": "718-597-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623503",
            "telephone_number": "718-597-3380",
            "fax_number": "718-597-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & N PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "TEHFE",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-597-3380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "023081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTOR 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 Aug 29, 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.