Putnam Valley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026694 Issued in NY

Legal business name

PUTNAM VALLEY PHARMACY INC

Doing business as

PUTNAM VALLEY PHARMACY INC

Practice address

11 Peekskill Hollow Rd
Putnam Valley, NY 10579-3200

Phone

(845) 528-6400

Fax

(845) 528-0400

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Daniel Becker, RPH

Title

President

Phone

(914) 962-6553

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PUTNAM VALLEY PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita Mary Morelli, RPH

  • Pharmacist
  • Putnam Valley, NY
  • NPI 1952625618
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1932193612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105790416",
            "telephone_number": "845-528-6400",
            "fax_number": "845-528-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793200",
            "telephone_number": "845-528-6400",
            "fax_number": "845-528-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-962-6553",
        "authorized_official_credential": "RPH"
    },
    "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": "026694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590307",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUTNAM VALLEY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rick Martin Pezzullo, DPT
• Susan Mary Powers-Kulusic, LCSW
• Premier Medical Associates of the Hudson Valley
• Putnam Valley Central School District
• Putnam Valley Pediatrics, P.C.
• Putnam Valley Volunteer Ambulance Corporations Inc
• Martha Tiresina Rabson, TEACHER
• Matthew Ranalletta
• Sarah Regan
• Claudia Rose Rivas, LMSW

• Community/Retail Pharmacy in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.