Organization Active NPI

Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Derby, CT
National Provider Identifier
1194489278
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VALLEY PHARMACY LLC
Practice address
74 Pershing Dr Ste 1B
Derby, CT 06418-1458
Phone
(203) 734-9455
Fax
(203) 734-9456
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. William H Zaleha III, PHARMDNPI 1891226320
Title
Pic/Owner
Phone
(203) 734-9455

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 Primary

Addresses

Primary practice location

74 Pershing Dr Ste 1B
Derby, CT 06418-1458

Mailing address

16 Homestead Ave
Derby, CT 06418-2504
Phone (203) 892-2633

Other names 1

  • Valley Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220516000168 CT Part B Supplier - Pharmacy 5294112181 Practice locations: Derby, CT
O20230720003268 CT DME Supplier - Pharmacy 5294112181 Practice locations: Derby, CT

National Provider Directory

National Provider Directory

Locations

74 Pershing Dr
Derby, CT 06418
Phone (203) 734-9455

74 Pershing Dr
Ste 1B
Derby, CT 06418
Phone (203) 734-9455

Practitioners & affiliated clinicians

Practitioners 1

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1194489278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOMESTEAD AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182504",
            "telephone_number": "203-892-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PERSHING DR STE 1B",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181458",
            "telephone_number": "203-734-9455",
            "fax_number": "203-734-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "ZALEHA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "203-734-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.