NPIMap

Organization Active NPI

Phelps Memorial Hospital Association

  • Community/Retail Pharmacy
  • Sleepy Hollow, NY
National Provider Identifier
1285706077
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028009 Issued in NY
Legal business name
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Practice address
777 N Broadway
Ste 101
Sleepy Hollow, NY 10591-1000
Phone
(914) 366-1400
Fax
(914) 366-1408
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mrs. Donna Drummond
Title
SVP, Chief Expense Officer
Phone
(914) 366-1400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 028009 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

777 N Broadway
Ste 101
Sleepy Hollow, NY 10591-1000

Mailing address

1983 Marcus Ave Ste 118
New Hyde Park, NY 11042-1016
Phone (914) 366-1400

Other identifiers 2

IdentifierTypeStateIssuer
2068676OtherPK
2848479MedicaidNY

Other names 1

  • Vivo Health Pharmacy at Phelps Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090911000455 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1658283981 Practice locations: Sleepy Hollow, NY
O20100930094715 NY DME Supplier - Pharmacy 1658283981 Practice locations: Sleepy Hollow, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Phelps Memorial Hospital Associatio777 N Broadway, Sleepy Hollow, NY 10591-1019(516) 719-5292 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shel… Accepts assignmentParticipating since Jul 1, 2006

National Provider Directory

National Provider Directory
Tax ID family
Phelps Memorial Hospita15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

315 S Highland Ave
Briarcliff Manor, NY 10510
Phone (914) 923-5700

115 Maple St
Croton on Hudson, NY 10520
Phone (914) 271-3583

22 Rockledge Ave
Ossining, NY 10562
Phone (914) 944-5220

777 N Broadway
Ste 101
Sleepy Hollow, NY 10591
Phone (914) 366-1400

1010 Kendal Way
Sleepy Hollow, NY 10591
Phone (914) 922-1000

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1285706077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE 118",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "914-366-1400",
            "fax_number": "914-366-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY",
            "address_2": "STE 101",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-366-1400",
            "fax_number": "914-366-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SVP, CHIEF EXPENSE OFFICER",
        "authorized_official_telephone_number": "914-366-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028009",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2848479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivo Health Pharmacy at Phelps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.