Jefferson Valley Pharmacy

LBN: Jefferson Valley Pharmacy Inc
Jefferson Valley Pharmacy is an health care organization with primary practice located at 3693 Hill Blvd , Jefferson Valley NY 10535. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jefferson Valley Pharmacy Inc can be contacted via phone (914) 962-6553, or through Becker, Daniel P via phone (914) 962-6553.

Contact Information

Primary practice address
3693 Hill Blvd Jefferson Valley NY 10535
Phone: (914) 962-6553
Fax: (914) 962-6228
Website:
Map and Directions
Authorized official contact:
Name: Becker, Daniel P RPH
Phone: (914) 962-6553

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 025541 New York

Profile Details

NPI number 1538153200
LBN Legal business name Jefferson Valley Pharmacy Inc
DBA Doing business as Jefferson Valley Pharmacy
Authorized official Becker, Daniel P RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538153200 NPPES
New York MEDICAID 02363784
New York Other 2064827

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