Port Ewen Rx Inc
Community/Retail Pharmacy
177 Broadway, Port Ewen
New York, 12466-7719
845-331-4229 845-340-4593
Port Ewen Rx Inc is a Community/Retail Pharmacy in Port Ewen, New York. It is located at 177 Broadway, Port Ewen and it's customer support contact number is 845-331-4229. The authorized person of Port Ewen Rx Inc is Mr. Vinay Adusumilli who is Manager of the pharmacy and his contact number is 440-281-2324. Active license number of Port Ewen Rx Inc is 032682 for Community/Retail Pharmacy in New York. Port Ewen Rx Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Port Ewen Rx 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:
Port Ewen Rx 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: | Port Ewen Rx Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 177 Broadway, Port Ewen,
New York, 12466-7719 |
| Phone: | 845-331-4229 |
| Fax: | 845-340-4593 |
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. Vinay Adusumilli |
| Position: | Manager |
| Contact Number: | 440-281-2324 |
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: | 1821426321 |
| NPI Enumeration Date: | 17 Oct, 2013 |
| NPI Last Update On: | 22 Dec, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Port Ewen Rx Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 032682 | New York | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
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 |
| 2147379 | Other | | Pk |
Medicare Enrollment:
Port Ewen Rx 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 |
| 0446470983 | O20141003000529 | Port Ewen Rx Inc | DME SUPPLIER - PHARMACY |
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 759,
Port Ewen, New York |
| Zip: | 12466-0759 |
| Phone Number: | 845-331-4229 |
| Fax Number: | 845-340-4593 |
Patients can reach Port Ewen Rx Inc at
177 Broadway, Port Ewen, New York or can
call on customer care at 845-331-4229.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.