South Fulton Pharmacy Inc
NPI 1558725499 · Community/Retail Pharmacy · Mount Vernon, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Fulton Pharmacy Inc is a Community/Retail Pharmacy organization in Mount Vernon, NY (NPI 1558725499).
Provider details
- NPI number
- 1558725499
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Aymen Jaber, President(914) 667-7772
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Fulton Pharmacy Inc.
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2017-01-18
Frequently asked questions
- What is South Fulton Pharmacy Inc's NPI number?
- South Fulton Pharmacy Inc's National Provider Identifier (NPI) is 1558725499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Fulton Pharmacy Inc?
- South Fulton Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is South Fulton Pharmacy Inc located?
- South Fulton Pharmacy Inc's practice location on file with NPPES is 301 S Fulton Ave, Mount Vernon, NY 10553-1715.
- What is South Fulton Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for South Fulton Pharmacy Inc is (914) 667-7772.
- Does South Fulton Pharmacy Inc accept Medicare?
- South Fulton Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Fulton Pharmacy Inc?
- The authorized official listed on South Fulton Pharmacy Inc's NPPES record is Aymen Jaber, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Fulton Pharmacy Inc's NPI active?
- Yes — South Fulton Pharmacy Inc's NPI (1558725499) is active in the NPPES registry as of the last update on 2017-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.