Healthcare Provider Details

I. General information

NPI: 1699603779
Provider Name (Legal Business Name): VALUE PHARMACY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HILLSIDE AVE
WILLISTON PARK NY
11596-2319
US

IV. Provider business mailing address

50 HILLSIDE AVE
WILLISTON PARK NY
11596-2319
US

V. Phone/Fax

Practice location:
  • Phone: 516-738-4969
  • Fax: 516-738-4963
Mailing address:
  • Phone: 516-738-4969
  • Fax: 516-738-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALAN KHORSHIDI
Title or Position: OWNER
Credential:
Phone: 516-263-7917