Organization Active NPI

Midrag Nine Pharmacy Inc

Doing business as Valuable Drugs

  • Pharmacy
  • White Plains, NY
National Provider Identifier
1346226891
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
023767 Issued in NY
Legal business name
MIDRAG NINE PHARMACY INC
Doing business as
Valuable Drugs
Practice address
417 Tarrytown Road
White Plains, NY 10607
Phone
(914) 948-4141
Fax
(914) 948-7559
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mr. Laurence MiressiNPI 1760704514
Title
President
Phone
(914) 948-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 023767 NY Primary

Addresses

Primary practice location

417 Tarrytown Road
White Plains, NY 10607

Mailing address

417 Tarrytown Rd
White Plains, NY 10607-1423
Phone (914) 948-4141

Other identifiers 1

IdentifierTypeStateIssuer
01927206MedicaidNY

Other names 1

  • VALUABLE DRUGS Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930095680 NY DME Supplier - Pharmacy 5890905939 Practice locations: White Plains, NY
O20250528000516 NY Part B Supplier - Pharmacy 5890905939 Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

417 Tarrytown Rd
White Plains, NY 10607
Phone (914) 948-4141

377 Tarrytown Rd
White Plains, NY 10607
Phone (914) 948-4141

Practitioners & affiliated clinicians

Practitioners 5

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": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1346226891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 TARRYTOWN RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071423",
            "telephone_number": "914-948-4141",
            "fax_number": "914-948-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 TARRYTOWN ROAD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10607",
            "telephone_number": "914-948-4141",
            "fax_number": "914-948-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDRAG NINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "MIRESSI",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-948-4141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01927206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALUABLE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.