Palmer Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029856 Issued in NY

Legal business name

PALMER PHARMACY

Practice address

131 E Green St
Suite 2
Ithaca, NY 14850-5653

Phone

(607) 882-9500

Fax

(607) 882-9503

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Samantha Palmer

Title

Manager

Phone

(315) 651-0047

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1013242890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148861048",
            "telephone_number": "315-651-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E GREEN ST",
            "address_2": "SUITE 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505653",
            "telephone_number": "607-882-9500",
            "fax_number": "607-882-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-651-0047"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363657",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia M Pagliarulo, PT
• Dana Pajerski, RN
• Dylan Pakkala, LMSW
• Francisco Paler-Large
• Laurie Jane Palladino, L.P.N.
• Diana Palumbo, R.N.
• Mia Pancaldo, PHD
• Anthony Joseph Pane Jr., PH.D.
• Suzanne Panetti-Stewart, CASAC, LCSW-R
• Michelle Diane Panzarello, OTR/L

• Community/Retail Pharmacy in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.