Bigelows Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023718 Issued in NY

Legal business name

BIGELOWS PHARMACY INC

Doing business as

Service Pharmacy New Berlin

Practice address

12 S Main St
New Berlin, NY 13411

Phone

(607) 847-8181

Fax

(607) 847-8130

NPI assigned

Dec 14, 2006

Last updated

Jul 10, 2025By 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

John Kwasnik, RPH

Title

Pharmacist

Phone

(607) 847-8181

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SERVICE PHARMACY NEW BERLIN Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bigelows Pharmacy Inc

  dba Service Pharmacy Sherburne

  • Community/Retail Pharmacy
  • Sherburne, NY
  • NPI 1457429698

  O20170804000619

  Same enrollment
• Bigelows Pharmacy Inc

  dba Service Pharmacy

  • Community/Retail Pharmacy
  • Sidney, NY
  • NPI 1841359213

  O20170804000619

  Same enrollment

Tax ID family

Bigelows Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bigelows Pharmacy Inc

  dba Service Pharmacy Sherburne

  • Community/Retail Pharmacy
  • Sherburne, NY
  • NPI 1457429698
  NPD tax ID
• Bigelows Pharmacy Inc

  dba Service Pharmacy

  • Community/Retail Pharmacy
  • Sidney, NY
  • NPI 1841359213
  NPD tax ID

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1104988724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S MAIN ST",
            "city": "NEW BERLIN",
            "state": "NY",
            "postal_code": "13411",
            "telephone_number": "607-847-8181",
            "fax_number": "607-847-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S MAIN ST",
            "city": "NEW BERLIN",
            "state": "NY",
            "postal_code": "13411",
            "telephone_number": "607-847-8181",
            "fax_number": "607-847-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGELOWS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KWASNIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "607-847-8181",
        "authorized_official_credential": "RPH"
    },
    "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": "023718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01825910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICE PHARMACY NEW BERLIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Bartle, CCC, NYS LIC.
• Sue Anne Linda Beckwith, LPN
• Brett Allen Brandon
• Tammy Lynn Brimmer-Grant
• Chase Memorial Nursing Home Co Inc
• Taylor Nikole Davis, RN
• Janette Ann Grainger

• Community/Retail Pharmacy in New Berlin, NY
• Providers in New Berlin, 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 Jul 10, 2025; 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.