Organization Active NPI

Ariahealth

Doing business as AriaHealth at ValueDrugs

  • Community/Retail Pharmacy
  • Sayville, NY
National Provider Identifier
1104207513
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
053042 Issued in NY
Legal business name
ARIAHEALTH
Doing business as
AriaHealth at ValueDrugs
Practice address
270 W Main St
Sayville, NY 11782-2554
Phone
(718) 791-0227
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Ilyevu Kalontarov, PHARMD
Title
Owner/Supervising Pharmacist
Phone
(718) 791-0227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 053042 NY Primary
Specialty Pharmacy 3336S0011X 053042 NY

Addresses

Primary practice location

270 W Main St
Sayville, NY 11782-2554

Mailing address

270 W Main St
Sayville, NY 11782-2554
Phone (718) 791-0227

Other names 1

  • AriaHealth at ValueDrugs Doing business as

National Provider Directory

National Provider Directory

Locations

270 W Main St
Sayville, NY 11782
Phone (631) 244-5752

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1104207513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822554",
            "telephone_number": "718-791-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822554",
            "telephone_number": "718-791-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIAHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "KALONTAROV",
        "authorized_official_first_name": "ILYEVU",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-791-0227",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "053042",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "053042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AriaHealth at ValueDrugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.