Healthcare Provider Details

I. General information

NPI: 1972391563
Provider Name (Legal Business Name): MVM RX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 138TH ST
BRONX NY
10454-1902
US

IV. Provider business mailing address

800 E 138TH ST
BRONX NY
10454-1902
US

V. Phone/Fax

Practice location:
  • Phone: 718-665-6337
  • Fax: 718-665-0268
Mailing address:
  • Phone: 718-665-6337
  • Fax: 718-665-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHSIN ZAHEER CHISHTI
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 718-665-6337