Organization Active NPI

Dennis K Zink & Clair C Inkley PTR

Doing business as Inkley Pharmacy

  • Community/Retail Pharmacy
  • Randolph, NY
National Provider Identifier
1083660385
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015035 Issued in NY
Legal business name
DENNIS K ZINK & CLAIR C INKLEY PTR
Doing business as
Inkley Pharmacy
Practice address
113 Main St
Randolph, NY 14772-1131
Phone
(716) 358-3201
Fax
(716) 358-2546
NPI assigned
May 26, 2006
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Clair InkleyNPI 1588780746
Title
Pharmacist Partner
Phone
(716) 358-3201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 015035 NY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

113 Main St
Randolph, NY 14772-1131

Mailing address

113 Main St
Randolph, NY 14772-1131
Phone (716) 358-3201

Other identifiers 2

IdentifierTypeStateIssuer
00614613MedicaidNY
2063647OtherPK

Other names 1

  • INKLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

113 Main St
Randolph, NY 14772
Phone (716) 358-3201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1083660385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147721131",
            "telephone_number": "716-358-3201",
            "fax_number": "716-358-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147721131",
            "telephone_number": "716-358-3201",
            "fax_number": "716-358-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS K ZINK & CLAIR C INKLEY PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "INKLEY",
        "authorized_official_first_name": "CLAIR",
        "authorized_official_title_or_position": "PHARMACIST PARTNER",
        "authorized_official_telephone_number": "716-358-3201"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "015035",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INKLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.