Healthcare Provider Details

I. General information

NPI: 1730398363
Provider Name (Legal Business Name): VALUE DRUGS 9 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 N STATE RD
BRIARCLIFF MANOR NY
10510-1415
US

IV. Provider business mailing address

17 GREEN ST
HUNTINGTON NY
11743-3345
US

V. Phone/Fax

Practice location:
  • Phone: 914-941-1970
  • Fax: 914-941-4381
Mailing address:
  • Phone: 631-271-6663
  • Fax: 631-271-5267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number028457
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. PETER PASCARELLI
Title or Position: PRESIDENT
Credential: OWNER
Phone: 631-271-6663