Organization Active NPI

S R Ahmad, Inc.

Doing business as Valley Pharmacy

  • Community/Retail Pharmacy
  • Waterloo, NY
National Provider Identifier
1730297458
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020371 Issued in NY
Legal business name
S R AHMAD, INC.
Doing business as
Valley Pharmacy
Practice address
12 W Main St
Waterloo, NY 13165-1329
Phone
(315) 539-9323
Fax
(315) 539-4146
NPI assigned
Aug 25, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Mr. Sardar Rafiq Ahmad, RPHNPI 1124196472
Title
President
Phone
(315) 539-9323

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 020371 NY Primary

Addresses

Primary practice location

12 W Main St
Waterloo, NY 13165-1329

Mailing address

12 West Main Street
Waterloo, NY 13165
Phone (315) 539-9323

Other identifiers 1

IdentifierTypeStateIssuer
01153626MedicaidNY

Other names 1

  • Valley Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033848 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0143349191 Practice locations: Waterloo, NY

National Provider Directory

National Provider Directory

Locations

12 W Main St
Waterloo, NY 13165
Phone (315) 539-9323

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1730297458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WEST MAIN STREET",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "13165",
            "telephone_number": "315-539-9323",
            "fax_number": "315-539-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651329",
            "telephone_number": "315-539-9323",
            "fax_number": "315-539-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S R AHMAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SARDAR",
        "authorized_official_middle_name": "RAFIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-539-9323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01153626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.