Organization Active NPI

Pny Inc

Doing business as Spring Valley Drug

  • Community/Retail Pharmacy
  • Spring Valley, NY
National Provider Identifier
1235144866
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023761 Issued in NY
Legal business name
PNY INC
Doing business as
Spring Valley Drug
Practice address
180 E Central Ave RT 59
Spring Valley, NY 10977
Phone
(845) 352-0490
Fax
(845) 352-0524
NPI assigned
Jul 30, 2006
Last updated
Feb 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Dipak Rao, BS
Title
President
Phone
(845) 352-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023761 NY Primary

Addresses

Primary practice location

180 E Central Ave RT 59
Spring Valley, NY 10977

Mailing address

180 E Central Ave
Spring Valley, NY 10977
Phone (845) 352-0490

Other identifiers 2

IdentifierTypeStateIssuer
3395882OtherNCPDP PROVIDER IDENTIFICATION NUMBER
01878748MedicaidNY

Other names 1

  • SPRING VALLEY DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930044672 NY DME Supplier - Pharmacy 2264643782 Practice locations: Spring Valley, NY
O20250203000969 NY Part B Supplier - Pharmacy 2264643782 Practice locations: Spring Valley, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pny Inc180 E Central Ave, Spring Valley, NY 10977(845) 352-0490 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 20, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1235144866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E CENTRAL AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-352-0490",
            "fax_number": "845-352-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E CENTRAL AVE RT 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-352-0490",
            "fax_number": "845-352-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-352-0490",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3395882",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01878748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRING VALLEY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.