Clintwood Apothecary LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CLINTWOOD APOTHECARY LLC

Practice address

343 Clinton St
Binghamton, NY 13905-2017

Phone

(607) 729-6972

Fax

(607) 729-0177

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Edward Landry, RPH

Title

Member / President

Phone

(607) 727-7770

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Clintwood Apothecary LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clintwood Apothecary, LLC.

  • Pharmacist
  • Binghamton, NY
  • NPI 1407867120
  NPD tax ID

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033155585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345 WVS",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "137050345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 CLINTON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052017",
            "telephone_number": "607-729-6972",
            "fax_number": "607-729-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTWOOD APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER / PRESIDENT",
        "authorized_official_telephone_number": "607-727-7770",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023176",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3365411",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01950481",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Takisha Clark
• Maelynn Clarke, LCSW
• Justin Cleveland
• Kati Jo Cline, CASACII, BA
• Clinical Campus Medical Group
• Clintwood Apothecary, LLC.
• Clintwood Pharmacy LLC
• Colleen Clune, RN
• Lori Lynn Cobb, MHC-LP
• Colleen M Coddington, PMHNP

• Long Term Care Pharmacy in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.