Organization Active NPI

Drug Mart Millwood Inc

Doing business as Drug Mart of Millwood

  • Community/Retail Pharmacy
  • Millwood, NY
National Provider Identifier
1093724353
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22495 Issued in NY
Legal business name
DRUG MART MILLWOOD INC
Doing business as
Drug Mart of Millwood
Practice address
230 Saw Mill River Rd
Millwood, NY 10546-1139
Phone
(914) 923-9200
Fax
(914) 923-1111
NPI assigned
Aug 5, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mr. Richard GlotzerNPI 1134451867
Title
President
Phone
(914) 923-9200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 22495 NY Primary

Addresses

Primary practice location

230 Saw Mill River Rd
Millwood, NY 10546-1139

Mailing address

230 Saw Mill River Rd
Millwood, NY 10546-1139
Phone (914) 923-9200

Other identifiers 1

IdentifierTypeStateIssuer
01572563MedicaidNY

Other names 1

  • Drug Mart of Millwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091306 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company 2668593930 Practice locations: Millwood, NY
O20111107000287 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2668593930 Practice locations: Millwood, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Drug Mart Millwood Inc230 Saw Mill River Rd, Millwood, NY 10546-1139(914) 923-9200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions|Ort… Accepts assignmentParticipating since Nov 22, 1999

National Provider Directory

National Provider Directory

Locations

230 Saw Mill River Rd
Millwood, NY 10546
Phone (914) 923-9200

Practitioners & affiliated clinicians

Practitioners 4

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1093724353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SAW MILL RIVER RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461139",
            "telephone_number": "914-923-9200",
            "fax_number": "914-923-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SAW MILL RIVER RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461139",
            "telephone_number": "914-923-9200",
            "fax_number": "914-923-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG MART MILLWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "GLOTZER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-923-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "22495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Mart of Millwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.