Healthcare Provider Details

I. General information

NPI: 1134226061
Provider Name (Legal Business Name): MVP PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 PIAGET AVE
CLIFTON NJ
07011-3001
US

IV. Provider business mailing address

393 PIAGET AVE
CLIFTON NJ
07011-3001
US

V. Phone/Fax

Practice location:
  • Phone: 973-478-0600
  • Fax: 973-478-0603
Mailing address:
  • Phone: 973-478-0600
  • Fax: 973-478-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00290500
License Number StateNJ

VIII. Authorized Official

Name: BHAVEEK MISTRY
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 973-478-0600