Organization Active NPI

Value Specialty Pharmacy LLC

Doing business as Value Specialty Pharmacy

  • Specialty Pharmacy
  • Altoona, PA
National Provider Identifier
1609151877
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PP482150 Issued in PA
Legal business name
VALUE SPECIALTY PHARMACY LLC
Doing business as
Value Specialty Pharmacy
Practice address
4200 Industrial Park Dr
Altoona, PA 16602-1737
Phone
(855) 265-8008
Fax
(844) 812-6227
NPI assigned
Oct 19, 2011
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Natalie RyanNPI 1932480795
Title
Pharmacist in Charge
Phone
(814) 283-2210

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Pharmacy 333600000X PA1991 KY
Diabetes Educator Registered Nurse 163WD0400X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X PMP1131 HI
Long Term Care Pharmacy 3336L0003X NU
Specialty Pharmacy 3336S0011X 031268 NY
Specialty Pharmacy 3336S0011X A9-0001090 DE
Specialty Pharmacy 3336S0011X 0000005673. TN
Specialty Pharmacy 3336S0011X NRP02220030003 OH
Specialty Pharmacy 3336S0011X 30072 MD
Specialty Pharmacy 3336S0011X MO0560346 WV
Specialty Pharmacy 3336S0011X 28RO00072000 NJ
Specialty Pharmacy 3336S0011X 0214001410 VA
Specialty Pharmacy 3336S0011X PP482150 PA Primary

Addresses

Primary practice location

4200 Industrial Park Dr
Altoona, PA 16602-1737

Mailing address

4200 Industrial Park Dr
Altoona, PA 16602-1737
Phone (855) 265-8008

Other identifiers 2

IdentifierTypeStateIssuer
2132442OtherPK
1026644790001MedicaidPA

Other names 1

  • Value Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120411000797 PA DME Supplier - Pharmacy 9335300748 Practice locations: Altoona, PA
O20120730000213 PA Part B Supplier - Pharmacy 9335300748 Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1333 Plank Rd
Ste 200
Duncansville, PA 16635
Phone (814) 283-1821

Practitioners & affiliated clinicians

Practitioners 8

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": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1609151877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 INDUSTRIAL PARK DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021737",
            "telephone_number": "855-265-8008",
            "fax_number": "844-812-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 INDUSTRIAL PARK DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021737",
            "telephone_number": "855-265-8008",
            "fax_number": "844-812-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "814-283-2210"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "PA1991",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PMP1131",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "031268",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "DE",
            "license": "A9-0001090",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "0000005673.",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OH",
            "license": "NRP02220030003",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "30072",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "WV",
            "license": "MO0560346",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RO00072000",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "VA",
            "license": "0214001410",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PA",
            "license": "PP482150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132442",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026644790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Value Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.