Slocum-Dickson Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

019678 Issued in NY

Legal business name

SLOCUM-DICKSON PHARMACY INC

Practice address

1729 Burrstone Rd
Ste 201
New Hartford, NY 13413-1001

Phone

(315) 798-1724

Fax

(315) 798-1507

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Kathleen Pellittieri, RPH

Title

Director of Pharmacy

Phone

(315) 798-1724

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SLOCUM DICKSON PHARMACY INC Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen D Eadline, MD

  • Pediatrics Physician
  • New Hartford, NY
  • NPI 1053303453
  NPD (past)
• Nicole T Romeo, RPH

  • Pharmacist
  • New Hartford, NY
  • NPI 1811129208
  NPD (past)
• Lisa Marie Weller, RPH

  • Pharmacist
  • New Hartford, NY
  • NPI 1467635060
  NPD (past)
• James M. O'Malley, M.D.

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1760476980
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1043201742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD",
            "address_2": "STE 201",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131001",
            "telephone_number": "315-798-1724",
            "fax_number": "315-798-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD",
            "address_2": "STE 201",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131001",
            "telephone_number": "315-798-1724",
            "fax_number": "315-798-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOCUM-DICKSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "PELLITTIERI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "315-798-1724",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3391086",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01061238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLOCUM DICKSON PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Michael Skiechs, RPA-C
• Pamela Slagle, N.P.
• Richard Sleeper, M.D.
• Jerry Sloan, MD
• Slocum Dickson Medical Group PLLC
• Allan M. Smiley, M.D.
• Andrew Martin Smith, PT, DPT
• Kimberly A Smith, RN
• Mark V Smith, MD
• Rachael Marie Smith, OTR/L

• Community/Retail Pharmacy in New Hartford, NY
• Providers in New Hartford, 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 Oct 2, 2012; 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.