Wayne-Clifton Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

021808 Issued in NY

Legal business name

WAYNE-CLIFTON PHARMACY INC.

Practice address

4 Coulter Rd
Clifton Springs, NY 14432-1122

Phone

(315) 462-6181

Fax

(315) 462-6887

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary R Carnevale, R.PH

Title

Pharmacist Owner

Phone

(315) 462-6181

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144338310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COULTER RD",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-6181",
            "fax_number": "315-462-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COULTER RD",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-6181",
            "fax_number": "315-462-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE-CLIFTON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "315-462-6181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "021808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01430359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Vanderbrook, D.C.
• Kathleen Mattoon Vanderbrook, N.P.
• Shelby Vanderbrook, LAC
• Samantha Hope Vitale, MSW
• Amanda Walters, LMT
• Kimberly Moore Wesley, ANP
• J Diane West, MD
• Gabrielle Westbrook
• Jaime Leigh Westbrook, AUD
• Western New York Medical Practice P.C

• Pharmacy in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.