Organization Active NPI

S B V Pharmacy Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1124053418
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024737 Issued in NY
Legal business name
S B V PHARMACY CORP
Practice address
217 E 106TH St
New York, NY 10029-4005
Phone
(212) 534-1939
Fax
(212) 534-4377
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mr. Vijay Vasireddy, RPHNPI 1972644128
Title
President
Phone
(212) 534-1939

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 024737 NY Primary

Addresses

Primary practice location

217 E 106TH St
New York, NY 10029-4005

Mailing address

217 E 106TH St
New York, NY 10029-4005
Phone (212) 534-1939

Other identifiers 1

IdentifierTypeStateIssuer
02051930MedicaidNY

Other names 1

  • MARCIA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930003262 NY DME Supplier - Pharmacy 2769503853 Practice locations: New York, NY
O20181221001067 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2769503853 Practice locations: New York, NY
O20220610000741 NY Part B Supplier - Pharmacy 2769503853 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Marcia Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 E 106th St
New York, NY 10029
Phone (212) 534-1939

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1124053418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 106TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294005",
            "telephone_number": "212-534-1939",
            "fax_number": "212-534-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 106TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294005",
            "telephone_number": "212-534-1939",
            "fax_number": "212-534-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S B V PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-534-1939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02051930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.

Verify at the official NPI Registry.