Active NPI
SLV Pharmacy Inc
Doing business as Valley Pharmacy & Surgical Supplies
- Community/Retail Pharmacy
- Succasunna, NJ
National Provider Identifier
1083644819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RX00558600
- Legal business name
- SLV PHARMACY INC
- Doing business as
- Valley Pharmacy & Surgical Supplies
- Practice address
- 107 Route 10 East
Succasunna, NJ 07876 - Phone
- (973) 584-4200
- Fax
- (973) 584-7266
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Annapurna Maddali
- Title
- President
- Phone
- (973) 584-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RX00558600 | NJ | Primary |
Addresses
Primary practice location
107 Route 10 East
Succasunna, NJ 07876
Mailing address
107 Route 10 East
Succasunna, NJ 07876
Phone (973) 584-4200
Other names 1
- VALLEY PHARMACY & SURGICAL SUPPLIES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053895 | NJ | DME Supplier - Pharmacy | 9931210507 | Practice locations: Succasunna, NJ |
| O20171128000674 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931210507 | Practice locations: Succasunna, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- SLV Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Succasunna, NJ
- NPI 1497074975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273449600000",
"number": "1083644819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ROUTE 10 EAST",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "07876",
"telephone_number": "973-584-4200",
"fax_number": "973-584-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 ROUTE 10 EAST",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "07876",
"telephone_number": "973-584-4200",
"fax_number": "973-584-7266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLV PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2010-05-10",
"status": "A",
"authorized_official_last_name": "MADDALI",
"authorized_official_first_name": "ANNAPURNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-584-4200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RX00558600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY PHARMACY & SURGICAL SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.