Mt Prospect Pharmacy Corp
NPI 1609350412 · Community/Retail Pharmacy · Newark, NJ
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mt Prospect Pharmacy Corp is a Community/Retail Pharmacy organization in Newark, NJ (NPI 1609350412).
Provider details
- NPI number
- 1609350412
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Aqsa Khan, Owner(862) 240-9601
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- Mt Prospect Pharmacy
Registry dates
- Enumerated
- 2018-09-18
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Mt Prospect Pharmacy Corp's NPI number?
- Mt Prospect Pharmacy Corp's National Provider Identifier (NPI) is 1609350412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt Prospect Pharmacy Corp?
- Mt Prospect Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mt Prospect Pharmacy Corp located?
- Mt Prospect Pharmacy Corp's practice location on file with NPPES is 654 Mount Prospect Ave, Newark, NJ 07104-3110.
- What is Mt Prospect Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Mt Prospect Pharmacy Corp is (862) 240-9601.
- Does Mt Prospect Pharmacy Corp accept Medicare?
- Mt Prospect Pharmacy Corp 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 Mt Prospect Pharmacy Corp?
- The authorized official listed on Mt Prospect Pharmacy Corp's NPPES record is Aqsa Khan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt Prospect Pharmacy Corp's NPI active?
- Yes — Mt Prospect Pharmacy Corp's NPI (1609350412) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.