Provider Demographics
NPI:1407520042
Name:OPRX PHARMACY #10510, LLC
Entity Type:Organization
Organization Name:OPRX PHARMACY #10510, LLC
Other - Org Name:VALUE DRUGS PHARMACY - BRIARCLIFF MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-876-0737
Mailing Address - Street 1:89 N STATE RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1415
Mailing Address - Country:US
Mailing Address - Phone:914-941-1970
Mailing Address - Fax:914-941-4381
Practice Address - Street 1:89 N STATE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1415
Practice Address - Country:US
Practice Address - Phone:914-941-1970
Practice Address - Fax:914-941-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039237OtherNYS BOP
NY07370212Medicaid