Value Village Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

026459 Issued in NY

Legal business name

VALUE VILLAGE INC

Practice address

1620 Route 22
Brewster, NY 10509-4051

Phone

(845) 278-8224

Fax

(845) 278-6403

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Carla Sousa

Title

Supervising Pharmacist

Phone

(845) 278-8224

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1114932720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ROUTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094051",
            "telephone_number": "845-278-8224",
            "fax_number": "845-278-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ROUTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094051",
            "telephone_number": "845-278-8224",
            "fax_number": "845-278-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "845-278-8224"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026459",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634788",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3340293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.