NPIMap

Organization Active NPI

State of New York

  • Institutional Pharmacy
  • Attica, NY
National Provider Identifier
1073532008
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
006467 Issued in NY
Legal business name
STATE OF NEW YORK
Practice address
Exchange St Rd
Attica, NY 14011-1211
Phone
(585) 591-2000
Fax
(585) 591-2000
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Louis Ghise
Title
Supervising Pharmacist
Phone
(585) 591-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 006467 NY Primary

Addresses

Primary practice location

Exchange St Rd
Attica, NY 14011-1211

Mailing address

Exchange St Rd
Attica, NY 14011-1211
Phone (585) 591-2000

Other identifiers 1

IdentifierTypeStateIssuer
2062686OtherPK

Other names 1

  • ATTICA CORRECTIONAL FACILITY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel a Spengler269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1073532008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXCHANGE ST RD",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111211",
            "telephone_number": "585-591-2000",
            "fax_number": "585-591-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXCHANGE ST RD",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111211",
            "telephone_number": "585-591-2000",
            "fax_number": "585-591-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "GHISE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "585-591-2000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NY",
            "license": "006467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATTICA CORRECTIONAL FACILITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Attica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.