Organization Active NPI

J.J. Valley Drug Inc

  • Community/Retail Pharmacy
  • Spring Valley, NY
National Provider Identifier
1508398934
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
J.J. VALLEY DRUG INC
Doing business as
CITYDRUG PHARMACY
Practice address
96 Route 59
Spring Valley, NY 10977-5217
Phone
(845) 459-6611
Fax
(845) 459-6613
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Jose Miguel PichardoNPI 1316496714
Title
Vice President
Phone
(845) 459-6611

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

96 Route 59
Spring Valley, NY 10977-5217

Mailing address

96 Route 59
Spring Valley, NY 10977-5217
Phone (845) 459-6611

Other names 1

  • CITYDRUG PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170914003544 NY DME Supplier - Pharmacy 2264706225 Practice locations: Spring Valley, NY
O20210107000822 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2264706225 Practice locations: Spring Valley, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
JJ Valley Drug Inc96 Route 59, Spring Valley, NY 10977-5217(845) 459-6611 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 29, 2017

National Provider Directory

National Provider Directory

Locations

96 Route 59
Ste 2
Spring Valley, NY 10977

96 Route 59
Spring Valley, NY 10977
Phone (845) 459-6611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1508398934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775217",
            "telephone_number": "845-459-6611",
            "fax_number": "845-459-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775217",
            "telephone_number": "845-459-6611",
            "fax_number": "845-459-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.J. VALLEY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-459-6611"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITYDRUG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.