PERU PHARMACY INC. NPI 1528166857

NPI Information

  • NPI: 1528166857
  • Provider Name: PERU PHARMACY INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PERU HEALTHMART PHARMACY
  • Address: 3 GORMAN WAY
    PERU, NY
    ZIP 12972
  • Phone: (518) 643-2318

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NPI Details

PERU PHARMACY INC. is a community/retail pharmacy pharmacy in Peru, NY. The provider 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. PERU PHARMACY INC. NPI is 1528166857. The provider is registered as an organization entity type.
The provider Is Doing Business As Peru Healthmart Pharmacy.

The provider's business location address is:

3 GORMAN WAY
PERU, NY
ZIP 12972-060
Phone: (518) 643-2318
Fax: (518) 643-0010

The provider's authorized official is Lawrence Kenneth Shanley .
The authorized official title is Supervising Pharmacist/manager and has the following contact phone number (518) 643-2318.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy026013-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100619172MEDICAIDNEW YORK
20891430001MEDICARE NSCNEW YORK
33342499OTHERNEW YORKNABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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