Organization Active NPI

Signature RX Inc

  • Community/Retail Pharmacy
  • Newburgh, NY
National Provider Identifier
1023293115
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028650 Issued in NY
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

Updated by the provider on Feb 27, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2958010MedicaidNY
2070063OtherPK

Other names 1

  • SIGNATURE RX INC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.