Organization Active NPI

Apple Valley Pharmacy Inc

  • Community/Retail Pharmacy
  • Warwick, NY
National Provider Identifier
1487939880
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030850 Issued in NY
Legal business name
APPLE VALLEY PHARMACY INC
Practice address
8 West St
Warwick, NY 10990-1402
Phone
(845) 988-5805
Fax
(845) 988-5872
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Annmarie Cloutier
Title
President
Phone
(845) 988-5805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030850 NY Primary

Addresses

Primary practice location

8 West St
Warwick, NY 10990-1402

Mailing address

8 West St
Warwick, NY 10990-1402
Phone (845) 988-5805

Other identifiers 1

IdentifierTypeStateIssuer
2132718OtherPK

Other names 1

  • Apple Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8 West St
Warwick, NY 10990
Phone (845) 988-5805

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1487939880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WEST ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901402",
            "telephone_number": "845-988-5805",
            "fax_number": "845-988-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WEST ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901402",
            "telephone_number": "845-988-5805",
            "fax_number": "845-988-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-988-5805"
    },
    "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": "030850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.