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Deactivated NPI 1982905352 Deactivated / Inactive NPI

Bleeding Disorders Resource Network, Llc

Pharmacy - Community/Retail Pharmacy • Walden, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bleeding Disorders Resource Network, Llc has officially deactivated this NPI record and ceased active healthcare operations.

Registration / Start Date November 16, 2010
NPI Deactivation Date March 01, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

About Bleeding Disorders Resource Network, Llc NPI 1982905352 Summary

Bleeding Disorders Resource Network, Llc was a registered healthcare organization specializing in Pharmacy - Community/Retail Pharmacy located in Walden, NY. Operating from its primary practice location at 156 ORANGE AVE FL 2, the facility provided medical services under NPI record 1982905352 prior to official deactivation on March 01, 2018.

Administrative records indicate Pedro Vento as the registered authorized official.

Facility Location & Contact Primary Location

Facility Address

156 Orange Ave Fl 2

Walden, NY 125862029

Telephone 8457134304
Fax 8457134782

Authorized Official Information

Authorized Contact Name

Pedro Vento

Official Telephone

8457134304

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
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NPI Profile Deactivated March 01, 2018

Record deactivated on March 01, 2018

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NPI Profile Deactivated February 28, 2018

Record deactivated on February 28, 2018

NPI Profile Active November 16, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 16, 2010

Registered at 156 ORANGE AVE FL 2, WALDEN, NY 125862029 (Tel: 8457134304)

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Updated Business Mailing Address November 16, 2010

Registered at 156 ORANGE AVE FL 2, PO BOX 461, WALDEN, NY 125862029 (Tel: 8457134304)

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Organization / Clinic Name Updated November 16, 2010

Operating as BLEEDING DISORDERS RESOURCE NETWORK, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2010

Pharmacy (License #030258 in NY)

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Initial NPI Registration & Enumeration November 16, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1982905352
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 16, 2010
Last Update: November 16, 2010
Deactivation Date: March 01, 2018

Mailing Address

156 Orange Ave Fl 2, Po Box 461

Walden, NY 125862029

Phone: 8457134304

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.