Palmyra Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031923 Issued in NY

Legal business name

PALMYRA PHARMACY LLC

Doing business as

Palmyra Pharmacy LLC

Practice address

214 E Main St
Palmyra, NY 14522-1128

Phone

(315) 502-0038

Fax

(315) 502-0124

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David StachnikNPI 1669570578

Title

President

Phone

(585) 259-5240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palmyra Pharmacy LLC Doing business as

Locations

Practitioners 5

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.

• David Robert Stachnik

  • Pharmacist
  • N. Chili, NY
  • NPI 1669570578
  NPD (past) Authorized official
• Tonya Jean Decann, D.C.

  • Chiropractor
  • Palmyra, NY
  • NPI 1275673030
  NPD (past)
• Lekisha Evette Griffin, PHARM.D, RPH

  • Pharmacist
  • Rochester, NY
  • NPI 1902960339
  NPD (past)
• Judianne C Slish, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Webster, NY
  • NPI 1881891851
  NPD (past)
• Amanda L Wendt

  • Pharmacist
  • Palmyra, NY
  • NPI 1750820114
  NPD (past)

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1144668559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 SEVERN RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809144",
            "telephone_number": "585-259-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145221128",
            "telephone_number": "315-502-0038",
            "fax_number": "315-502-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMYRA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "STACHNIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-259-5240"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmyra Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Noone, RT (R) (M)
• Patrick Mitchell Odell Sr., LCSW
• Carissa Olena
• Palmyra Family & Cosmetic Dentistry, PLLC
• Palmyra Family Eyecare Inc
• Palmyra-Macedon Central School District
• Sara V Parsons, RN
• Stephanie Elizabeth Petersen, L.M.S.W.
• Amy Anne Powers, LPN
• Angelique M Ricci, RN

• Community/Retail Pharmacy in Palmyra, NY
• Providers in Palmyra, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.