Active NPI
Valley Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Derby, CT
National Provider Identifier
1861497018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VALLEY MEDICAL SUPPLY, INC.
- Practice address
- 49 Pershing Dr
Derby, CT 06418-1406 - Phone
- (203) 732-4269
- Fax
- (203) 732-4062
- NPI assigned
- Jun 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John V Marro
- Title
- President/Ceo
- Phone
- (203) 732-4269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
49 Pershing Dr
Derby, CT 06418-1406
Mailing address
49 Pershing Dr
Derby, CT 06418-1406
Phone (203) 732-4269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12DME0182CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
| ANC1664 | Other | CT | OXFORD HEALTH |
| BLUECARE FAMILY PLAN | Other | CT | 00406954800 |
National Provider Directory
National Provider Directory- Tax ID family
- Valley Medical Supply Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Derby, CT
- NPI 1417051608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861497018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 PERSHING DR",
"city": "DERBY",
"state": "CT",
"postal_code": "064181406",
"telephone_number": "203-732-4269",
"fax_number": "203-732-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PERSHING DR",
"city": "DERBY",
"state": "CT",
"postal_code": "064181406",
"telephone_number": "203-732-4269",
"fax_number": "203-732-4062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARRO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "203-732-4269",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "12DME0182CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "ANC1664",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00406954800",
"identifier": "BLUECARE FAMILY PLAN",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.