BOLTONS PHARMACY INC NPI 1699760298

NPI Information

  • NPI: 1699760298
  • Provider Name: BOLTONS PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 128 W MAIN ST
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 782-5961

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NPI Details

BOLTONS PHARMACY INC is a community/retail pharmacy pharmacy in Watertown, 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. BOLTONS PHARMACY INC NPI is 1699760298. The provider is registered as an organization entity type.

The provider's business location address is:

128 W MAIN ST
WATERTOWN, NY
ZIP 13601-989
Phone: (315) 782-5961
Fax: (315) 782-4496

The provider's authorized official is Colleen Signor .
The authorized official title is Registered Phamacist and has the following contact phone number (315) 782-5961.

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.

  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/10/2023.

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
1332B00000XDurable Medical Equipment & Medical Supplies015555NEW YORKNo
2333600000XPharmacy015555NEW YORKNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy015555NEW 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
13347754OTHERNEW YORKNABP
201077238MEDICAIDNEW 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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