Organization Active NPI

Pleasant Valley Chemists Inc

Doing business as Neighborx Pharmacy at Pleasant Valley

  • Community/Retail Pharmacy
  • Pleasant Valley, NY
National Provider Identifier
1477806164
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031730 Issued in NY
Legal business name
PLEASANT VALLEY CHEMISTS INC
Doing business as
Neighborx Pharmacy at Pleasant Valley
Practice address
13 North Ave
Suite # 1
Pleasant Valley, NY 12569-7943
Phone
(845) 635-2222
Fax
(845) 635-9222
NPI assigned
Oct 18, 2012
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Sridevi Pavuluri
Title
President
Phone
(845) 635-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031730 NY Primary

Addresses

Primary practice location

13 North Ave
Suite # 1
Pleasant Valley, NY 12569-7943

Mailing address

13 North Ave
Suite # 1
Pleasant Valley, NY 12569-7943
Phone (845) 635-2222

Other identifiers 2

IdentifierTypeStateIssuer
2137495OtherPK
03739324MedicaidNY

Other names 1

  • Neighborx Pharmacy at Pleasant Valley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130904000788 NY DME Supplier - Pharmacy 2668615063 Practice locations: Pleasant Valley, NY
O20160202000660 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2668615063 Practice locations: Pleasant Valley, NY
O20201216001228 NY Part B Supplier - Pharmacy 2668615063 Practice locations: Pleasant Valley, NY

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Valley Chemists 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.

Locations

13 North Ave
#S1
Pleasant Valley, NY 12569
Phone (845) 635-2222

Practitioners & affiliated clinicians

Practitioners 1

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": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1477806164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 NORTH AVE",
            "address_2": "SUITE # 1",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697943",
            "telephone_number": "845-635-2222",
            "fax_number": "845-635-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 NORTH AVE",
            "address_2": "SUITE # 1",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697943",
            "telephone_number": "845-635-2222",
            "fax_number": "845-635-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "PAVULURI",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-635-2222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137495",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03739324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborx Pharmacy at Pleasant Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.