Active NPI
CMV Pharmacy Inc
Doing business as Dougherty Pharmacy LTC
- Long Term Care Pharmacy
- Morrisville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- CMV PHARMACY INC
- Doing business as
- Dougherty Pharmacy LTC
- Practice address
- 14 E Main St
Morrisville, NY 13408 - Phone
- (315) 684-3171
- NPI assigned
- Aug 1, 2022
- Last updated
- Oct 22, 2024
- 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
- Colin Valenta
- Title
- President
- Phone
- (607) 323-1303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
14 E Main St
Morrisville, NY 13408
Mailing address
PO Box 237
Morrisville, NY 13408-0237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033602 | Other | NY | STATE LICENSE |
Other names 1
- Dougherty Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- CMV Pharmacy Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Canastota, NY
- NPI 1073471066
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Morrisville, NY
- NPI 1053609966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1093442097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 237",
"city": "MORRISVILLE",
"state": "NY",
"postal_code": "134080237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 E MAIN ST",
"city": "MORRISVILLE",
"state": "NY",
"postal_code": "13408",
"telephone_number": "315-684-3171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMV PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-01",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "VALENTA",
"authorized_official_first_name": "COLIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "607-323-1303"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "033602",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dougherty Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Morrisville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.