Sidney Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SIDNEY PHARMACY INC

Practice address

122 Gramatan Ave
Mt Vernon, NY 10550-1206

Phone

(914) 371-1967

NPI assigned

Apr 18, 2019

Last updated

May 23, 2019By 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

Mr. Christian OgagaNPI 1851569479

Title

Pharmacist

Phone

(914) 837-7823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Christian O Ogaga, RPH

  • Pharmacist
  • New Rochelle, NY
  • NPI 1851569479
  NPD Authorized official

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1144883745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WESTMINSTER CT",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013107",
            "telephone_number": "914-837-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GRAMATAN AVE",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105501206",
            "telephone_number": "914-371-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "OGAGA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "914-837-7823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Mount Vernon, NY
• Providers in Mount Vernon, 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 May 23, 2019; 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.

Verify at the official NPI Registry.