Organization Active NPI

Lindsay Drug Co.,Inc

  • Community/Retail Pharmacy
  • Troy, NY
National Provider Identifier
1073598397
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018848 Issued in NY
Legal business name
LINDSAY DRUG CO.,INC
Practice address
416 5TH Ave
Troy, NY 12182-3007
Phone
(518) 235-2522
Fax
(518) 235-5932
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Raghu Thota, PHARM D
Title
Vice President
Phone
(518) 235-2522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 018848 NY Primary

Addresses

Primary practice location

416 5TH Ave
Troy, NY 12182-3007

Mailing address

416 5TH Ave
Troy, NY 12182-3007
Phone (518) 235-2522

Other identifiers 2

IdentifierTypeStateIssuer
2057224OtherPK
00918649MedicaidNY

Other names 1

  • LINDSAY DRUG CO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20100930012729 NY DME Supplier - Pharmacy 1557487170 Practice locations: Troy, NY
O20180110002915 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1557487170 Practice locations: Troy, NY
O20210201002227 NY Part B Supplier - Independent Clinical Laboratory 1557487170 Practice locations: Troy, NY
O20220406001401 NY Part B Supplier - Pharmacy 1557487170 Practice locations: Troy, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1073598397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121823007",
            "telephone_number": "518-235-2522",
            "fax_number": "518-235-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121823007",
            "telephone_number": "518-235-2522",
            "fax_number": "518-235-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY DRUG CO.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "518-235-2522",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057224",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINDSAY DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.