Propel Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

034875 Issued in NY

Legal business name

PROPEL PHARMACY, LLC

Practice address

5962 State Route 31 Ste 4
Cicero, NY 13039-7857

Phone

(888) 407-8015

Fax

(866) 277-1796

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Erica Rachelle Durant, PHARMDNPI 1386923795

Title

Pharmacist in Charge

Phone

(888) 407-8015

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Propel Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Rachelle Durant, PHARMD, RPH

  • Pharmacist
  • Syracuse, NY
  • NPI 1386923795
  NPD Authorized official
• Sarah Jane Huber, R.PH.

  • Pharmacist
  • Oswego, NY
  • NPI 1245494053
  NPD
• Kathleen Hurd, PHARMD

  • Pharmacist
  • Watertown, NY
  • NPI 1801520473
  NPD
• Christopher Martin, PHARM. D

  • Pharmacist
  • Cicero, NY
  • NPI 1770160699
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1073965729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 STATE ROUTE 31 STE 4",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130397857",
            "telephone_number": "888-407-8015",
            "fax_number": "866-277-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 STATE ROUTE 31 STE 4",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130397857",
            "telephone_number": "888-407-8015",
            "fax_number": "866-277-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPEL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-02-15",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "888-407-8015",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034875",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Propel Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Propel Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Marie Pignatti, RN
• Donato Pinnisi, PT, DPT
• Kyle Plante, MD, MPH
• Andre S Poirier, RN
• Nana Asebi Prempeh, RPH
• Jasmine Nicole Pryor, MSED
• Daniel Quiros, DMD
• Bekzod Rahimov, DDS
• Kristin Raineri, DDS
• Melissa Sue Ramstedt, LPN

• Pharmacy in Cicero, NY
• Providers in Cicero, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.