Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Ewen Rx Inc

Organization Pharmacy · NPI 1821426321

Port Ewen Rx Inc is a Pharmacy in Port Ewen, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

177 Broadway
Port Ewen, NY 12466-7719
Phone: (845) 331-4229
Fax: (845) 340-4593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 032682 (NY)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1821426321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vinay Adusumilli — Manager · (440) 281-2324
Other names Port Ewen Pharmacy; Port Ewen Pharmacy
NPI enumeratedOctober 17, 2013
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing addressPo Box 759, Port Ewen, NY 12466-0759