Pharmadva LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHARMADVA LLC

Practice address

150 Lucius Gordon Dr
Suite 209
West Henrietta, NY 14586-9687

Phone

(585) 820-4360

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Sacks

Title

Ceo

Phone

(585) 820-4360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1265886378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LUCIUS GORDON DR",
            "address_2": "SUITE 209",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869687",
            "telephone_number": "585-820-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LUCIUS GORDON DR",
            "address_2": "SUITE 209",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869687",
            "telephone_number": "585-820-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMADVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-820-4360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olde Canal Pharmacy Inc
• Andy Oshiopekhai Oshiotse, LPN
• Lakeya Owens
• Yesha Patel
• Pharmacy Corporation of America
• Keera Kewonda Moenay Phillips
• Erica Ramire
• Georgiana Beth Saltzman, LPN
• Karin Marie Sams, LPN
• Heather Lynn Schreiber, LPN

• Durable Medical Equipment & Medical Supplies in West Henrietta, NY
• Providers in West Henrietta, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.