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MT VERNON PHARMACY CORP
NPI 1811587348
Pharmacy - Community/Retail Pharmacy in Mount Vernon, NY

Active since January 19, 2021
105 STEVENS AVE, MOUNT VERNON, NY 10550(914) 416-6777 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Sep 9, 2021, Jan 19, 2021 (3 updates tracked since 2021).

About Mt Vernon Pharmacy Corp NPPES

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

MT VERNON PHARMACY CORP (NPI 1811587348) is a healthcare organization registered as a community/retail pharmacy in Mount Vernon, New York and active in the NPI registry since January 2021. The organization lists Humayun Malik, President, as its authorized official.

NPPES Registry Identity

NPI1811587348
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMT VERNON PHARMACY CORP
Location Address105 STEVENS AVEMount Vernon, NY 10550-2686
Mailing Address105 Stevens AveMount Vernon, NY 10550-2686
Phone(914) 416-6777
Organization SubpartNo
Authorized OfficialHumayun MalikPresident · (718) 708-0191
Enumeration DateJanuary 19, 2021
Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1811587348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
105 STEVENS AVE, Mount Vernon, NY 10550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mt Vernon Pharmacy Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20211006000973Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

WESTCHESTER WOMEN'S MEDICAL HEALTHCARE P.L.L.C.
Obstetrics & Gynecology
105 STEVENS AVE, SUITE 505
MOUNT VERNON, NY 10550
Westchester County (914) 665-2229
OBIANULO ROSE ONYEMA MD
Pediatrics
105 STEVENS AVE, SUITE 207
MT VERNON, NY 10550
Westchester County (914) 665-3309
MARVIN GILL DR.
Pharmacist
105 STEVENS AVE
MOUNT VERNON, NY 10550
Westchester County (914) 416-6777
DR. SANFORD SHAEV D.D.S.
Dentist (General Practice)
105 STEVENS AVE, 606
MT VERNON, NY 10550
Westchester County (914) 699-6191
CAROLYN MOHEDANO-CRANER O.D.
Optometrist
105 STEVENS AVE, SUITE 203
MOUNT VERNON, NY 10550
Westchester County (914) 668-7442
PRATIK SHAH
Pharmacist
105 STEVENS AVE
MOUNT VERNON, NY 10550
Westchester County (914) 664-0300
DR. DEBORAH SOPHIA HUNTER-BROWN M.D
Family Medicine
105 STEVENS AVE, SUITE 408
MOUNT VERNON, NY 10550
Westchester County (914) 663-1368
DR. GARREN CRANER O.D.
Optometrist
105 STEVENS AVE, SUITE #203
MOUNT VERNON, NY 10550
Westchester County (914) 668-7442

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 Mt Vernon Pharmacy Corp's NPI number?

The NPI number for Mt Vernon Pharmacy Corp is 1811587348. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Mt Vernon Pharmacy Corp located?

Mt Vernon Pharmacy Corp is located at 105 Stevens Ave, Mount Vernon, NY 10550. The listed phone number is (914) 416-6777.

What is Mt Vernon Pharmacy Corp's specialty?

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

Is Mt Vernon Pharmacy Corp enrolled in Medicare?

Yes. Mt Vernon Pharmacy Corp is registered in the Medicare PECOS enrollment system.

When is Mt Vernon Pharmacy Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Mt Vernon Pharmacy Corp accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Mt Vernon Pharmacy Corp 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 Mt Vernon Pharmacy Corp was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.