Organization Active NPI

Varsha Pharmacy Inc

Doing business as Prescription Den

  • Community/Retail Pharmacy
  • Selden, NY
National Provider Identifier
1053471839
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0370771 Issued in NY
Legal business name
VARSHA PHARMACY INC
Doing business as
Prescription Den
Practice address
239 Boyle Rd
Selden, NY 11784-1955
Phone
(631) 698-5444
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ketankumar G PatelNPI 1073898375
Title
Pic
Phone
(423) 331-0650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0370771 NY Primary

Addresses

Primary practice location

239 Boyle Rd
Selden, NY 11784-1955

Mailing address

239 Boyle Rd
Selden, NY 11784-1955
Phone (631) 698-5444

Other identifiers 1

IdentifierTypeStateIssuer
01076168MedicaidNY

Other names 1

  • Prescription Den Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930044472 NY DME Supplier - Pharmacy 5698895001 Practice locations: Selden, NY
O20200824001234 NY Part B Supplier - Pharmacy 5698895001 Practice locations: Selden, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Varsha Pharmacy Inc239 Boyle Rd, Selden, NY 11784-1955(631) 698-5444 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

239 Boyle Rd
Ste 5
Selden, NY 11784
Phone (631) 698-5444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1053471839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841955",
            "telephone_number": "631-698-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841955",
            "telephone_number": "631-698-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSHA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETANKUMAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "423-331-0650"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "0370771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Den",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prescription Den",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.