Mltk Llc
Community/Retail Pharmacy
2424 Hylan Blvd, Staten Island
New York, 10306-3117
718-979-0718 718-979-5462
Mltk Llc is a Community/Retail Pharmacy in Staten Island, New York. It is located at 2424 Hylan Blvd, Staten Island and it's customer support contact number is 718-979-0718. The authorized person of Mltk Llc is Melissa Figueroa Rivera who is Third Party Administrator of the pharmacy and his contact number is 732-521-8439. Active license number of Mltk Llc is 028450 for Community/Retail Pharmacy in New York. Mltk Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mltk Llc is 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.
Pharmacy Details:
Mltk Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mltk Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 2424 Hylan Blvd, Staten Island,
New York, 10306-3117 |
| Phone: | 718-979-0718 |
| Fax: | 718-979-5462 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Melissa Figueroa Rivera |
| Position: | Third Party Administrator |
| Contact Number: | 732-521-8439 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790975936 |
| NPI Enumeration Date: | 25 Jul, 2007 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mltk Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 028450 | New York | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2069367 | Other | | Pk |
| 2909479 | Medicaid | New York | |
Medicare Enrollment:
Mltk Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5890990949 | O20100930067755 | Mannix Family Market @ Hylan Blvd Llc | DME SUPPLIER - PHARMACY |
| 5890990949 | O20101119000372 | Mannix Family Market @ Hylan Blvd Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Mltk Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 15169,
Newark, New Jersey |
| Zip: | 07192-5169 |
| Phone Number: | 718-979-0718 |
Patients can reach Mltk Llc at
2424 Hylan Blvd, Staten Island, New York or can
call on customer care at 718-979-0718.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.