Organization Active NPI

Sva Pharmacy Corp

Doing business as Triangle Pharmacy

  • Community/Retail Pharmacy
  • Richmond Hill, NY
National Provider Identifier
1558468470
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027198 Issued in NY
Legal business name
SVA PHARMACY CORP
Doing business as
Triangle Pharmacy
Practice address
119-01 Jamaica Ave
Richmond Hill, NY 11418
Phone
(718) 847-9850
Fax
(718) 847-9851
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Navjot Singh Bal, PHAMD.NPI 1982036455
Title
President
Phone
(718) 847-9850

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 027198 NY Primary

Addresses

Primary practice location

119-01 Jamaica Ave
Richmond Hill, NY 11418

Mailing address

119-01 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 847-9850

Other identifiers 2

IdentifierTypeStateIssuer
02646817MedicaidNY
2059353OtherPK

Other names 1

  • TRIANGLE PHARMACY Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930071825 NY DME Supplier - Pharmacy 4385845379 Practice locations: Richmond Hill, NY
O20120210000150 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4385845379 Practice locations: Richmond Hill, NY
O20220516001495 NY Part B Supplier - Pharmacy 4385845379 Practice locations: Richmond Hill, NY

National Provider Directory

National Provider Directory

Locations

11901 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 847-9850

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1558468470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119-01 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-847-9850",
            "fax_number": "718-847-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119-01 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-847-9850",
            "fax_number": "718-847-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "BAL",
        "authorized_official_first_name": "NAVJOT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-847-9850",
        "authorized_official_credential": "PHAMD."
    },
    "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": "027198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02646817",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIANGLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRIANGLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.