Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MLK PHARMACY,INC
Active
Organization
MLK PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH D SHAH M.S (PRESIDENT)
(212) 666-6060
Entity
Organization
Contact information
Practice address
568 W 125TH ST, NEW YORK, NY 10027-3407
(212) 666-6060
(212) 663-2072
Mailing address
568 W 125TH ST, NEW YORK, NY 10027-3407
(212) 666-6060
(212) 663-2072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01203070
—
NY
01
—
3396947
NABP#
NY
Enumeration date
12/21/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up