Organization Active NPI

Esquire Drug Inc.

  • Community/Retail Pharmacy
  • Menands, NY
National Provider Identifier
1104011915
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022773 Issued in NY
Legal business name
ESQUIRE DRUG INC.
Practice address
100 Broadway
Menands, NY 12204-2797
Phone
(518) 463-2291
Fax
(518) 463-1537
NPI assigned
Sep 14, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mr. Frank R Renna
Title
Owner/President
Phone
(518) 463-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022773 NY Primary

Addresses

Primary practice location

100 Broadway
Menands, NY 12204-2797

Mailing address

100 Broadway
Menands, NY 12204-2797
Phone (518) 463-2291

Other identifiers 1

IdentifierTypeStateIssuer
01593219MedicaidNY

National Provider Directory

National Provider Directory

Locations

100 Broadway
Menands, NY 12204
Phone (518) 463-2291

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1104011915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042797",
            "telephone_number": "518-463-2291",
            "fax_number": "518-463-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042797",
            "telephone_number": "518-463-2291",
            "fax_number": "518-463-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESQUIRE DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "518-463-2291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01593219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.