Active NPI
Signature RX Inc
- Community/Retail Pharmacy
- Newburgh, NY
National Provider Identifier
1023293115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028650
- Legal business name
- SIGNATURE RX INC
- Practice address
- 181 S Plank Rd
Newburgh, NY 12550-3054 - Phone
- (845) 569-1700
- Fax
- (845) 569-1702
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Coicou, RPH
- Title
- Owner
- Phone
- (845) 633-2926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 028650 | NY | Primary |
Addresses
Primary practice location
181 S Plank Rd
Newburgh, NY 12550-3054
Mailing address
PO Box 765
Plattekill, NY 12568-0765
Phone (845) 569-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2958010 | Medicaid | NY | |
| 2070063 | Other | PK |
Other names 1
- SIGNATURE RX INC
National Provider Directory
National Provider DirectoryLocations
181 S Plank Rd
Ste 1
Newburgh, NY 12550
Phone (845) 569-1700
181 S Plank Rd
Newburgh, NY 12550
Phone (845) 569-1700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Newburgh, NY
- NPI 1033405766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393459200000",
"number": "1023293115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765",
"city": "PLATTEKILL",
"state": "NY",
"postal_code": "125680765",
"telephone_number": "845-569-1700",
"fax_number": "845-569-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 S PLANK RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503054",
"telephone_number": "845-569-1700",
"fax_number": "845-569-1702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2014-02-27",
"status": "A",
"authorized_official_last_name": "COICOU",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-633-2926",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "028650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2958010",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2070063",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SIGNATURE RX INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.