Amenia Pharmacy RX LLC
Organization Active NPI Community/Retail Pharmacy · Amenia, NY
NPI 1326525684 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1326525684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AMENIA PHARMACY RX LLC
- Practice address
- 5094 Route 22
#48
Amenia, NY 12501 - Phone
- (845) 373-8000
- Fax
- (345) 373-8236
- NPI assigned
- Jul 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Hema Patel
- Title
- Owner
- Phone
- (813) 304-2221
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Kathy Valoy, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230207002237 | NY | Part B Supplier - Pharmacy | 9234501990 |
1 other NPI on this enrollment Practice locations: Amenia, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
5094 Route 22
#48
Amenia, NY 12501
Mailing address
5908 Breckenridge Parkway
Tampa, FL 33610
Phone (813) 304-2221
Other names
- Amenia Drugs
Other providers in Amenia, NY
- Amenia Pharmacy RX LLC
- Nancy Bayersdorfer
- Kathleen Lile Bernard
- Maria Dolores Caballero Jaime
- Tara Camo
- Alexandra Cernasov
All providers in Amenia, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.