North Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031345 Issued in NY

Legal business name

NORTH STREET PHARMACY INC

Doing business as

North Street Pharmacy, Inc.

Practice address

200 North St
St 103
Geneva, NY 14456-1561

Phone

(315) 787-5388

Fax

(315) 781-3295

NPI assigned

May 7, 2012

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Gray, BACHELOR PHARM

Title

Owner

Phone

(315) 787-5388

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• North Street Pharmacy, Inc. Doing business as

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1073872396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH ST",
            "address_2": "ST 103",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5388",
            "fax_number": "315-781-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST",
            "address_2": "ST 103",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5388",
            "fax_number": "315-781-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-787-5388",
        "authorized_official_credential": "BACHELOR PHARM"
    },
    "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": "031345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03510125",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Street Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natessa Ann Negron, RN
• Lisa Joan Nelson, PA
• Meghan Lyn Newman, AUD
• Ned Nicolai, MD
• Dana Lynn Norman, DO
• Susan Lynn Ofstein, PH.D., LMFT
• Ann Osborne, RPH
• Michael Joseph Osborne, RPH
• Scott Joseph Ostrowski, LCSW
• Ashley N Pajk, AGPCP NP-C

• Community/Retail Pharmacy in Geneva, NY
• Providers in Geneva, 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 Aug 10, 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.