NPIMap

Organization Active NPI

James W Bevilacqua

Doing business as Post Office Pharmacy

  • Community/Retail Pharmacy
  • Saranac Lake, NY
National Provider Identifier
1134296593
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019255 Issued in NY
Legal business name
JAMES W BEVILACQUA
Doing business as
Post Office Pharmacy
Practice address
61 Main St
Saranac Lake, NY 12983-0587
Phone
(518) 891-2233
Fax
(518) 891-7069
NPI assigned
Nov 29, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. James Walter Bevilacqua, RPHNPI 1629369053
Title
Owner
Phone
(518) 891-2233

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 019255 NY Primary

Addresses

Primary practice location

61 Main St
Saranac Lake, NY 12983-0587

Mailing address

PO Box 587
Saranac Lake, NY 12983-0587
Phone (518) 891-2233

Other identifiers 2

IdentifierTypeStateIssuer
00983202MedicaidNY
3344493OtherNABP#

Other names 1

  • POST OFFICE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

61 Main St
Saranac Lake, NY 12983
Phone (518) 891-2233

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1134296593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129830587",
            "telephone_number": "518-891-2233",
            "fax_number": "518-891-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129830587",
            "telephone_number": "518-891-2233",
            "fax_number": "518-891-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W BEVILACQUA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BEVILACQUA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-891-2233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00983202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3344493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POST OFFICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.