ADIRONDACK APOTHECARY LLC NPI 1174667117

NPI Information

  • NPI: 1174667117
  • Provider Name: ADIRONDACK APOTHECARY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 3932 NYS ROUTE 22
    WILLSBORO, NY
    ZIP 12996
  • Phone: (518) 963-8946

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NPI Details

ADIRONDACK APOTHECARY LLC is a community/retail pharmacy pharmacy in Willsboro, 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. ADIRONDACK APOTHECARY LLC NPI is 1174667117. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3932 NYS ROUTE 22
WILLSBORO, NY
ZIP 12996-507
Phone: (518) 963-8946
Fax: (518) 963-7322

The provider's authorized official is Rebecca Doyle .
The authorized official title is Vice President and has the following contact phone number (518) 532-0005.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/4/2025.

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
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy028290NEW 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
12069043OTHERPK
22860355MEDICAIDNEW 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: 11/21/2025

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