Tops Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034932 Issued in NY

Legal business name

TOPS MARKETS LLC

Doing business as

Tops Pharmacy

Practice address

16 Jon J Wagner Way
Lagrangeville, NY 12540-5062

Phone

(845) 473-0459

Fax

(855) 263-0227

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Justin Neal

Title

Director of Pharmacy

Phone

(716) 635-5274

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOPS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tops Markets LLC

  • Community/Retail Pharmacy
  • Lagrangeville, NY
  • NPI 1295284982

  O20161221001641

  Same enrollment

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1053451260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142401027",
            "telephone_number": "716-635-5276",
            "fax_number": "716-635-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 JON J WAGNER WAY",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405062",
            "telephone_number": "845-473-0459",
            "fax_number": "855-263-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPS MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "716-635-5274"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163648",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOPS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Streva
• Sureride Services, LLC
• Martha R Suzuki
• Cindy Lynn Sweet
• Kelly Wynne Tabor, BS, MSOT, OTR/L
• Tops Markets LLC
• Valley Urgent Care
• Melissa Vasti
• Rolande Victorin
• Christine Walraven

• Community/Retail Pharmacy in Lagrangeville, NY
• Providers in Lagrangeville, 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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.