Provider Demographics
NPI:1790863066
Name:VALUE HEALTH CONSULTANTS INC,
Entity Type:Organization
Organization Name:VALUE HEALTH CONSULTANTS INC,
Other - Org Name:BUTTERFIELD'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RAHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-501-7034
Mailing Address - Street 1:1770 SE HILLMOOR DR
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7534
Mailing Address - Country:US
Mailing Address - Phone:772-446-1100
Mailing Address - Fax:
Practice Address - Street 1:1770 SE HILLMOOR DR
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7534
Practice Address - Country:US
Practice Address - Phone:772-446-1100
Practice Address - Fax:772-489-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH00141843336C0003X
3336I0012X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103960100Medicaid
FL114283201Medicaid
FLPH0014184OtherSTATE PHARMACY LICENSE
1078751OtherNCPDP
FL114409300Medicaid
FL114283200Medicaid
BV5051610OtherDEA