Peru Pharmacy Inc.
Community/Retail Pharmacy
3 Gorman Way, Peru
New York, 12972-3060
518-643-2318 518-643-0010
Peru Pharmacy Inc. is a Community/Retail Pharmacy in Peru, New York. It is located at 3 Gorman Way, Peru and it's customer support contact number is 518-643-2318. The authorized person of Peru Pharmacy Inc. is Mr. Lawrence Kenneth Shanley, PHARM D who is Supervising Pharmacist/manager of the pharmacy and his contact number is 518-643-2318. Active license number of Peru Pharmacy Inc. is 026013-1 for Community/Retail Pharmacy in New York. Peru Pharmacy Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Peru Pharmacy Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Peru Pharmacy Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Peru Pharmacy Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 3 Gorman Way, Peru,
New York, 12972-3060 |
| Phone: | 518-643-2318 |
| Fax: | 518-643-0010 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Lawrence Kenneth Shanley |
| Credentials: | PHARM D |
| Position: | Supervising Pharmacist/manager |
| Contact Number: | 518-643-2318 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1528166857 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 03 Jun, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peru Pharmacy Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 026013-1 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3342499 | Other | New York | Nabp |
| 00619172 | Medicaid | New York | |
Medicare Enrollment:
Peru Pharmacy Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305966029 | O20100930035358 | Peru Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 6305966029 | O20141029001820 | Peru Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 86,
Peru, New York |
| Zip: | 12972-0086 |
| Phone Number: | 518-643-2318 |
| Fax Number: | 518-643-0010 |
Patients can reach Peru Pharmacy Inc. at
3 Gorman Way, Peru, New York or can
call on customer care at 518-643-2318.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.