Valley Stream Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033976 Issued in NY

Legal business name

VALLEY STREAM PHARMACY INC

Doing business as

Valley Stream Pharmacy

Practice address

238 Rockaway Ave Ste a
Valley Stream, NY 11580-5843

Phone

(516) 442-0200

Fax

(516) 442-0306

NPI assigned

Nov 14, 2015

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed Ahmar Ali

Title

Owner

Phone

(516) 442-0200

Specialties & licenses 1

Addresses

Other names 1

• Valley Stream Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Valley Stream Pharmacy Inc2 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.

• Valley Stream Pharmacy Inc

  dba Valley Stream Pharmacy

  • Long Term Care Pharmacy
  • Valley Stream, NY
  • NPI 1558105429
  NPD tax ID

Locations

Practitioners 2

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.

• Hun J Ha, RPH

  • Pharmacist
  • Valley Stream, NY
  • NPI 1316260847
  NPD (past)
• Mansour Mohamed Issam Mansour, DO

  • Emergency Medicine Physician
  • Taylor, MI
  • NPI 1366002735
  NPD (past)

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1982078978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ROCKAWAY AVE STE A",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805843",
            "telephone_number": "516-442-0200",
            "fax_number": "516-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 ROCKAWAY AVE STE A",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805843",
            "telephone_number": "516-442-0200",
            "fax_number": "516-442-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "AHMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-442-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Stream Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Stream Medical Services PC
• Valley Stream Optomerty & Optician PLLC (Howard Eyecare)
• Valley Stream Optometric Services PC
• Valley Stream Optometry PLLC (Howard Eyecare)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Physical Therapy, P.C.
• Valley Stream Professional Medical Services, LLC
• Valley Stream RX Inc
• Valley Stream Ufsd #24
• Valley Stream Ufsd 13

• Community/Retail Pharmacy in Valley Stream, NY
• Providers in Valley Stream, 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 Mar 19, 2025; 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.