Organization Active NPI

Top Value Pharmacy LLC

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1891035762
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031898 Issued in NY
Legal business name
TOP VALUE PHARMACY LLC
Practice address
3811 Dyre Ave
Bronx, NY 10466-6112
Phone
(718) 325-1355
Fax
(718) 325-1356
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Pankit Sutaria
Title
Owner
Phone
(718) 325-1355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031898 NY Primary

Addresses

Primary practice location

3811 Dyre Ave
Bronx, NY 10466-6112

Mailing address

3811 Dyre Ave
Bronx, NY 10466-6112
Phone (718) 325-1355

Other identifiers 2

IdentifierTypeStateIssuer
03554592MedicaidNY
2140111OtherPK

Other names 1

  • Top Value 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
O20130821000142 NY DME Supplier - Pharmacy 0648413740 Practice locations: Bronx, NY
O20250324001730 NY Part B Supplier - Pharmacy 0648413740 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Top Value Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1891035762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 DYRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104666112",
            "telephone_number": "718-325-1355",
            "fax_number": "718-325-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 DYRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104666112",
            "telephone_number": "718-325-1355",
            "fax_number": "718-325-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP VALUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "SUTARIA",
        "authorized_official_first_name": "PANKIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-325-1355"
    },
    "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": "031898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03554592",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Top Value Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.