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Export Provider Record NPI 1003968652
Mile Square Pharmacy Inc
Organization Subpart: NO
Active
NPI Number1003968652
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1003968652
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-01-16
Last Updated2023-03-07
Authorized OfficialRobert Lepore
President supervising pharmacist
Phone: 9149651878
Mailing Address855 Midland Ave
Yonkers, NY 10704-1024
United States
Phone: (914) 965-1878 | Fax: (914) 963-4022
📍 View Map
Primary Practice Address855 Midland Ave
Yonkers, NY 10704-1024
United States
Phone: (914) 965-1878 | Fax: (914) 963-4022
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY00570021
Other (non-Medicare)NY013593State license
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNY013593
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About NPI 1003968652

Mile Square Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1003968652. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Yonkers, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1003968652?

NPI 1003968652 belongs to Mile Square Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Yonkers, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1003968652 active?

The current status of NPI 1003968652 in the NPPES registry is Active. The record was last updated on 2023-03-07.

What specialty is NPI 1003968652?

NPI 1003968652 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1003968652?

You can verify NPI 1003968652 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1003968652?

The primary practice address on file for NPI 1003968652 is 855 Midland Ave, Yonkers, NY 10704-1024. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1003968652 issued?

NPI 1003968652 was first issued (enumerated) on 2007-01-16. The NPPES record was last updated on 2023-03-07.

Practice Location Map

Mile Square Pharmacy Inc is located at 855 Midland Ave, Yonkers, NY. Use the map below to find directions or verify the practice location.

📍 855 Midland Ave, Yonkers, NY 10704-1024  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mile Square Pharmacy Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1003968652. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy013593NY
Data Verified from CMS NPPES Last synced: 2026-06-06 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162