Provider Demographics
NPI:1093570913
Name:S B V PHARMACY CORP
Entity Type:Organization
Organization Name:S B V PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:VASIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:914-318-0787
Mailing Address - Street 1:217 E 106TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-4005
Mailing Address - Country:US
Mailing Address - Phone:212-534-1939
Mailing Address - Fax:
Practice Address - Street 1:217 E 106TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-4005
Practice Address - Country:US
Practice Address - Phone:212-534-1939
Practice Address - Fax:212-534-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy