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PENN TRAFFIC COMPANY THE NPI 1154342483


NPI Information

NPI: 1154342483
Provider Name: PENN TRAFFIC COMPANY THE

Doing Business As: P AND C FOOD AND PHARMACY 3188

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
152 HARTE HAVEN PLZ
MASSENA, NY
ZIP 13662
Phone: (315) 769-0065
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PENN TRAFFIC COMPANY THE is a pharmacy in Massena, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PENN TRAFFIC COMPANY THE NPI is 1154342483. The provider is registered as an organization entity type.
The provider Is Doing Business As P And C Food And Pharmacy 3188.

The provider's business location address is:

152 HARTE HAVEN PLZ
MASSENA, NY
ZIP 13662-608
Phone: (315) 769-0065
Fax: (315) 769-0094

The provider's authorized official is James Erba .
The authorized official title is Pharmacy Systems Manager and has the following contact phone number (315) 461-2595.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacy022287NEW YORKYes
23336C0003XPharmacyCommunity/Retail PharmacyX

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
101525593MEDICAIDNEW YORK
23354507OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.