MOTT HAVEN PHCY AND SURGICALS (NPI# 1104831700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104831700 |
| Entity Type | Organization |
| Organization Name | MOTT HAVEN PHCY AND SURGICALS |
| Practice Address |
400 East 141 Street Bronx NY 10454 |
| Mailing Address |
400 E 141st St Bronx NY 10454 |
| Practice Telephone | 7182929144 |
| Mailing Telephone | 7182929144 |
| Mailing Fax Number | 7182929145 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-10-27 |
| Authorized Official Name | AMIT PATEL (SECRETARY) |
| Authorized Official Telephone | 7182929144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3349811 | 01 |
| Street Address |
400 EAST 141 STREET |
| City | BRONX |
| State | NY |
| Zip Code | 10454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449444 | 167 Rx Inc | Pharmacy | 55 E 167th St, Bronx, NY 10452-8206 | 2020-08-27 |
| 1497366025 | Sobro Pharmacy Inc. | Pharmacy | 2550 3rd Ave, Bronx, NY 10454-1261 | 2020-08-17 |
| 1548871684 | S&n Nyc Inc | Pharmacy | 938 E Gun Hill Rd, Bronx, NY 10469-3708 | 2020-08-12 |
| 1790395754 | Bronx Chemists Rx Inc | Pharmacy | 1764 E 174th St, Bronx, NY 10472-1842 | 2020-08-05 |
| 1255964904 | Zahid Khan | Pharmacy | 1160 E Tremont Ave, Bronx, NY 10460-2452 | 2020-02-20 |
| 1568002756 | Edenwald Pharmacy Inc. | Pharmacy | 4137 Laconia Ave, Bronx, NY 10466 | 2020-01-15 |
| 1548806243 | Insta Drugs Inc | Pharmacy | 584a E 187th St, Bronx, NY 10458-6702 | 2019-11-18 |
| 1730724691 | Lpj Rx Inc | Pharmacy | 209 E 165th St, Bronx, NY 10456-6017 | 2019-11-14 |
| 1043853252 | Hub Pharmacy Rx Corp | Pharmacy | 288 E 149th St, Bronx, NY 10451-5630 | 2019-10-21 |
| 1609427749 | Claremont Rx Inc | Pharmacy | 243 E 172nd St, Bronx, NY 10457-8902 | 2019-09-20 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MOTT HAVEN PHCY AND SURGICALS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.