Valley Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VALLEY MEDICAL SUPPLY INC

Practice address

49 Pershing Dr
Derby, CT 06418

Phone

(203) 732-4269

Fax

(203) 732-4062

NPI assigned

Sep 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick J Shortell

Title

Vice President

Phone

(203) 732-4269

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Valley Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Valley Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Derby, CT
  • NPI 1861497018
  NPD tax ID

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417051608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PERSHING DR",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "06418",
            "telephone_number": "203-732-4269",
            "fax_number": "203-732-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PERSHING DR",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "06418",
            "telephone_number": "203-732-4269",
            "fax_number": "203-732-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORTELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-732-4269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS SHEILD",
            "identifier": "12DME0182CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "ANC1664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Two Rivers Counseling, LLC
• Daniel Underhill
• Urgent Care of Derby, LLC (PhysicianOne Urgent Care- Derby)
• Rabia Usman, M.D
• Vacillate Then Elevate Wellness Center PLLC
• Valley Medical Supply, Inc.
• Valley Pharmacy LLC (Valley Pharmacy)
• Valley Transit District
• Beth C Vankeuren Maldonado, LCSW
• Nimeshayan Varatharajah, M.D.

• Durable Medical Equipment & Medical Supplies in Derby, CT
• Providers in Derby, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.