Organization Active NPI

Northern Dutchess Pharmacy Inc

  • Pharmacy
  • Rhinebeck, NY
National Provider Identifier
1033201504
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
007561 Issued in NY
Legal business name
NORTHERN DUTCHESS PHARMACY INC
Practice address
18 East Market St
Rhinebeck, NY 12572
Phone
(845) 876-3939
Fax
(845) 876-0466
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Walter Czajka, RPHNPI 1003908633
Title
President Supervising Pharmacist
Phone
(845) 876-3939

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
Pharmacy 333600000X 007561 NY Primary

Addresses

Primary practice location

18 East Market St
Rhinebeck, NY 12572

Mailing address

18 East Market St
Rhinebeck, NY 12572
Phone (845) 876-3939

Other identifiers 2

IdentifierTypeStateIssuer
00427885MedicaidNY
3343326OtherNABP

National Provider Directory

National Provider Directory

Locations

18 E Market St
Rhinebeck, NY 12572
Phone (845) 876-1241

Practitioners & affiliated clinicians

Practitioners 2

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1033201504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EAST MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-876-3939",
            "fax_number": "845-876-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAST MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-876-3939",
            "fax_number": "845-876-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN DUTCHESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "CZAJKA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "845-876-3939",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "007561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00427885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3343326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.