Clarkstown Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CLARKSTOWN PHARMACY INC

Practice address

719 West Nyack Rd
West Nyack, NY 10994

Phone

(845) 358-3588

Fax

(845) 358-3514

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Pincus

Title

President

Phone

(845) 358-3588

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Hernandez-Goley, LCSW

  • Clinical Social Worker
  • West Nyack, NY
  • NPI 1033508445
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1144290842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WEST NYACK RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-358-3588",
            "fax_number": "845-358-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 WEST NYACK RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-358-3588",
            "fax_number": "845-358-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "PINCUS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-358-3588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01695138",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot Choi
• Sara Ann Christman, M.A.
• Angela America Ciampoli, C.O.T.A.
• Giovanna Ciccone
• Clarkstown Orthopedics PC
• Kristina Clemente
• Inna Cohn, D.O.
• Kathleen Ann Colaluca-Borbon, MSED, BCBA, NYS LBA
• Suzanne Colandrea, RN
• Andrew Robert Comly, O.D.

• Pharmacy in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.