Pam Poisson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

058757 Issued in NY

Practice address

2066 RT 32
Modena, NY 12549

Phone

(845) 883-7469

Fax

(845) 883-7530

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin's Foods of South Burlington, LLC

  dba Hannaford Supermarket & Pharmacy

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)
• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Modena, NY
  • NPI 1932390242
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1124499843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MILLS PL",
            "city": "MILTON",
            "state": "NY",
            "postal_code": "125475256",
            "telephone_number": "207-951-5297",
            "fax_number": "845-883-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 RT 32",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "12549",
            "telephone_number": "845-883-7469",
            "fax_number": "845-883-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISSON",
        "first_name": "PAM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Mackey, R.N.
• Martins Foods of South Burlington LLC
• Francis C Mayle III, MD
• Modena Family Practice, PC
• Keri L Montross, PHARMD
• Ellen Puleo
• Rabjot Kaur Rai, MD
• Mariza Rodriguez
• Heather Roger, LPN
• Jerra Santaniello

• Pharmacist in Modena, NY
• Providers in Modena, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.