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NORTHERN NY INFUS NPI 1649213927


NPI Information

NPI: 1649213927
Provider Name: NORTHERN NY INFUS

Doing Business As: OPTIONCARE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
21093 NYS RTE 12F
WATERTOWN, NY
ZIP 13601
Phone: (315) 788-3527
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NORTHERN NY INFUS is a pharmacy in Watertown, 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. NORTHERN NY INFUS NPI is 1649213927. The provider is registered as an organization entity type.
The provider Is Doing Business As Optioncare.

The provider's business location address is:

21093 NYS RTE 12F
WATERTOWN, NY
ZIP 13601-078
Phone: (315) 788-3527
Fax: (315) 788-3527

The provider's authorized official is Linda Stevens .
The authorized official title is Office Billing Manager and has the following contact phone number (315) 785-5436.

The enumeration date for this NPI number is 6/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy023382NEW YORKYes
23336H0001XPharmacyHome Infusion Therapy 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101776109MEDICAIDNEW YORK
23336446OTHEROTHER 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: 11/14/2023

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.