Active NPI
Town Total Health, LLC
- Specialty Pharmacy
- Woodbury, NY
National Provider Identifier
1205174497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- TOWN TOTAL HEALTH, LLC
- Practice address
- 415 Crossways Park Drive
Suite a
Woodbury, NY 11797 - Phone
- (516) 249-7400
- Fax
- (516) 249-7400
- NPI assigned
- Jan 22, 2013
- 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
- Paul A Valenti
- Title
- Cfo
- Phone
- (631) 386-1204
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 031852 | NY | |
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
415 Crossways Park Drive
Suite a
Woodbury, NY 11797
Mailing address
2929 Walker Ave. NW
Grand Rapids, MI 49544-6402
Phone (616) 791-2829
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140160 | Other | PK | |
| 2314881 | Medicaid | NY | |
| 03563164 | Medicaid | NY |
Other names 2
- Meijer Pharmacy #459
- Meijer Specialty Pharmacy
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bronxville, NY
- NPI 1396282679
Member Of
Locations
415 Crossways Park Dr
Ste A
Woodbury, NY 11797
Phone (516) 249-7400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Okemos, MI
- NPI 1215153978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1205174497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 WALKER AVE. NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495446402",
"telephone_number": "616-791-2829",
"fax_number": "616-735-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CROSSWAYS PARK DRIVE",
"address_2": "SUITE A",
"city": "WOODBURY",
"state": "NY",
"postal_code": "11797",
"telephone_number": "516-249-7400",
"fax_number": "516-249-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN TOTAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-22",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "VALENTI",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "631-386-1204"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "031852",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140160",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2314881",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03563164",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meijer Pharmacy #459",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meijer Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meijer Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.