MLTK LLC
NPI 1790975936
Pharmacy - Community/Retail Pharmacy in Staten Island, NY

Active since July 25, 2007
2424 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 979-0718(718) 979-5462 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 19, 2018 (3 updates tracked since 2018).

About Mltk Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MLTK LLC (NPI 1790975936), doing business as Shoprite Pharmacy Of Hylan Blvd, is a healthcare organization registered as a community/retail pharmacy in Staten Island, New York and active in the NPI registry since July 2007. The organization lists Melissa Figueroa Rivera, Third Party Administrator, as its authorized official.

NPPES Registry Identity

NPI1790975936
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMLTK LLC
Location Address2424 HYLAN BLVDStaten Island, NY 10306-3117
Mailing AddressPo Box 15169Newark, NJ 07192-5169 · (718) 979-0718
Fax(718) 979-5462
Organization SubpartNo
Authorized OfficialMelissa Figueroa RiveraThird Party Administrator · (732) 521-8439
Enumeration DateJuly 25, 2007
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPI 1790975936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 028450
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
2424 HYLAN BLVD, Staten Island, NY 10306

Other Names 1

Doing Business AsShoprite Pharmacy Of Hylan Blvd

Other Identifiers 2

Other2069367Pk
Medicaid2909479NY

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2424 HYLAN BLVD
STATEN ISLAND, NY 10306
Pharmacist
2424 HYLAN BLVD
STATEN ISLAND, NY 10306
Pharmacist
2424 HYLAN BLVD
STATEN ISLAND, NY 10306
Pharmacy (Community/Retail Pharmacy)
2424 HYLAN BLVD
STATEN ISLAND, NY 10306
Pharmacist
2424 HYLAN BLVD
STATEN ISLAND, NY 10306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mltk LLC's NPI number?

The NPI number for Mltk LLC is 1790975936. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider is doing business as Shoprite Pharmacy Of Hylan Blvd.

Where is Mltk LLC located?

Mltk LLC is located at 2424 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 979-0718.

What is Mltk LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Mltk LLC accept?

Health plans from Medica list Mltk LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mltk LLC was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.