Organization Active NPI

Valley Care Pharmacy 1 Inc

  • Community/Retail Pharmacy
  • Scranton, PA
National Provider Identifier
1205330388
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VALLEY CARE PHARMACY 1 INC
Practice address
940 Jefferson Ave
Scranton, PA 18510-1007
Phone
(570) 800-2273
Fax
(570) 800-5841
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Nimesh Patel
Title
President
Phone
(570) 235-1405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

940 Jefferson Ave
Scranton, PA 18510-1007

Mailing address

940 Jefferson Ave
Scranton, PA 18510-1007
Phone (570) 800-2273

Other identifiers 1

IdentifierTypeStateIssuer
2176890OtherPK

Other names 1

  • Valley Care Pharmacy#1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181211001478 PA Part B Supplier - Mass Immunization (Roster Biller Only) 4183968670 Practice locations: Scranton, PA

National Provider Directory

National Provider Directory

Locations

940 Jefferson Ave
#1
Scranton, PA 18510
Phone (570) 800-2273

1534 Highway 315 Blvd
Ste 101
Wilkes Barre, PA 18702

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1205330388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 JEFFERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101007",
            "telephone_number": "570-800-2273",
            "fax_number": "570-800-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 JEFFERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101007",
            "telephone_number": "570-800-2273",
            "fax_number": "570-800-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE PHARMACY 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-05-17",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-235-1405"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Care Pharmacy#1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.