Organization Active NPI

Blitz Pharmacy Inc

Doing business as Blitz Pharmacy

  • Community/Retail Pharmacy
  • Big Flats, NY
National Provider Identifier
1003240003
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032347 Issued in NY
Legal business name
BLITZ PHARMACY INC
Doing business as
Blitz Pharmacy
Practice address
485 Maple St
Big Flats, NY 14814-9701
Phone
(607) 358-4200
Fax
(607) 358-4204
NPI assigned
Aug 26, 2013
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason BlitzNPI 1114101185
Title
President / Manager
Phone
(607) 742-6315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032347 NY Primary

Addresses

Primary practice location

485 Maple St
Big Flats, NY 14814-9701

Mailing address

485 Maple St
Big Flats, NY 14814-9701
Phone (607) 358-4200

Other identifiers 2

IdentifierTypeStateIssuer
03940741MedicaidNY
2141910OtherPK

Other names 1

  • Blitz Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140625000770 NY DME Supplier - Pharmacy 2062637564 Practice locations: Big Flats, NY
O20251117002476 NY Part B Supplier - Pharmacy 2062637564 Practice locations: Big Flats, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Blitz Pharmacy Inc.485 Maple St, Big Flats, NY 14814-970160735842002 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 8, 2014

National Provider Directory

National Provider Directory

Locations

485 Maple St
Big Flats, NY 14814
Phone (607) 358-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1003240003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MAPLE ST",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-358-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MAPLE ST",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-358-4200",
            "fax_number": "607-358-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLITZ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "BLITZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT / MANAGER",
        "authorized_official_telephone_number": "607-742-6315"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03940741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blitz Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Flats, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.