1336208156 NPI number — ORMONDY VALLEY CHEMISTS INC

Table of content: (NPI 1336208156)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336208156 NPI number — ORMONDY VALLEY CHEMISTS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORMONDY VALLEY CHEMISTS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ORMONDY PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336208156
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
781 W MERRICK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEY STREAM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11580-4828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-285-6147
Provider Business Mailing Address Fax Number:
516-285-3731

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
781 W MERRICK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VALLEY STREAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11580-4828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-285-6147
Provider Business Practice Location Address Fax Number:
516-285-3731
Provider Enumeration Date:
12/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MISITANO
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
516-285-6147

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  012110 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00379575 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3347362 . This is a "NABP#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".