Organization Active NPI

Bay Valley Pharmacy Inc

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1265377568
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAY VALLEY PHARMACY INC
Practice address
47 Broad St
Staten Island, NY 10304-2608
Phone
(347) 861-0091
Fax
(347) 861-0563
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Imran Ali
Title
President
Phone
(347) 861-0091

Specialties & licenses 1

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

Addresses

Primary practice location

47 Broad St
Staten Island, NY 10304-2608

Mailing address

47 Broad St
Staten Island, NY 10304-2608
Phone (347) 861-0091

National Provider Directory

National Provider Directory

Locations

47 Broad St
Staten Island, NY 10304
Phone (347) 861-0091

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1265377568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042608",
            "telephone_number": "347-861-0091",
            "fax_number": "347-861-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042608",
            "telephone_number": "347-861-0091",
            "fax_number": "347-861-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-861-0091"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.