Organization
FAIRBANKS PHARMACY INC.
Active
Organization
FAIRBANKS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E VANVALKENBURG R.PH. (OWNER / CHIEF PHARMACIST)
(607) 563-1660
Entity
Organization
Contact information
Practice address
37 MAIN ST, SIDNEY, NY 13838-1139
(607) 563-1660
(607) 563-1762
Mailing address
37 MAIN ST, SIDNEY, NY 13838-1139
(607) 563-1660
(607) 563-1762
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
012692
NY
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289596
—
NY
01
—
10034668
CDPHP INSURANCE
—
01
—
3317054
NABP
—
01
—
347918
MVP HEALTH PLAN
—
Enumeration date
02/11/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up