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PHOENICIA PHARMACY NPI 1699833715


NPI Information

NPI: 1699833715
Provider Name: PHOENICIA PHARMACY

Doing Business As: PHOENICIA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
41 MAIN ST
PHOENICIA, NY
ZIP 12464
Phone: (845) 688-2215
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PHOENICIA PHARMACY is a community/retail pharmacy pharmacy in Phoenicia, 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. PHOENICIA PHARMACY NPI is 1699833715. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenicia Pharmacy.

The provider's business location address is:

41 MAIN ST
PHOENICIA, NY
ZIP 12464-211
Phone: (845) 688-2215
Fax: (845) 688-2917

The provider's authorized official is Martin Millman .
The authorized official title is Owner and has the following contact phone number (845) 688-2215.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 1/27/2014.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy017198NEW 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
12061114OTHERPK
200628813MEDICAIDNEW YORK

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: 5/5/2024

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