Active NPI
Quinlans Pharmacy Inc
- Community/Retail Pharmacy
- Montour Falls, NY
National Provider Identifier
1144586066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031366
- Legal business name
- QUINLANS PHARMACY INC
- Practice address
- 336 West Main Street
Montour Falls, NY 14865 - Phone
- (607) 210-4262
- Fax
- (607) 210-4201
- NPI assigned
- Apr 4, 2012
- Last updated
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Quinlan
- Title
- Owner
- Phone
- (585) 728-2250
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 031366 | NY | Primary |
Addresses
Primary practice location
336 West Main Street
Montour Falls, NY 14865
Mailing address
107 North Main Street
Wayland, NY 14572
Phone (585) 728-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03490122 | Medicaid | NY | |
| 2134636 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080107000444 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698855492 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Montour Falls, NY; Wayland, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Quinlan's Pharmacy
- Long Term Care Pharmacy
- Wayland, NY
- NPI 1629010400
O20080107000444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1144586066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NORTH MAIN STREET",
"city": "WAYLAND",
"state": "NY",
"postal_code": "14572",
"telephone_number": "585-728-2250",
"fax_number": "585-728-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 WEST MAIN STREET",
"city": "MONTOUR FALLS",
"state": "NY",
"postal_code": "14865",
"telephone_number": "607-210-4262",
"fax_number": "607-210-4201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINLANS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-04",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "QUINLAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-728-2250"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "031366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03490122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2134636",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Montour Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.