NPIMap

Organization Active NPI

Suny Health Science Center at Syracuse

Doing business as Upstate Outpatient Pharmacy at CSC

  • Community/Retail Pharmacy
  • East Syracuse, NY
National Provider Identifier
1053218859
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Doing business as
Upstate Outpatient Pharmacy at CSC
Practice address
111 Sanders Creek Pkwy Ste 1400
East Syracuse, NY 13057-1382
Phone
(315) 464-3784
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Stuart Wright
Title
Chief Financial Officer
Phone
(315) 464-2139

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

111 Sanders Creek Pkwy Ste 1400
East Syracuse, NY 13057-1382

Mailing address

750 E Adams St
Attn: Outpatient Pharmacy
Syracuse, NY 13210-2306
Phone (315) 464-3784

Other names 1

  • Upstate Outpatient Pharmacy at CSC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suny Upstate Medical University Hospital12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

111 Sanders Creek Pkwy
Ste 1400
East Syracuse, NY 13057

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1053218859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "ATTN: OUTPATIENT PHARMACY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SANDERS CREEK PKWY STE 1400",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571382",
            "telephone_number": "315-464-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY HEALTH SCIENCE CENTER AT SYRACUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "315-464-2139"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Outpatient Pharmacy at CSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.