Organization Active NPI

Poughkeepsie Pharmacy Inc

Doing business as Poughkeepsie Pharmacy

  • Community/Retail Pharmacy
  • Poughkeepsie, NY
National Provider Identifier
1154605269
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031104 Issued in NY
Legal business name
POUGHKEEPSIE PHARMACY INC
Doing business as
Poughkeepsie Pharmacy
Practice address
724 Main St
Poughkeepsie, NY 12603-1820
Phone
(845) 473-3784
Fax
(845) 473-2400
NPI assigned
Oct 7, 2011
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Samata Talla
Title
President
Phone
(845) 392-8254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031104 NY Primary

Addresses

Primary practice location

724 Main St
Poughkeepsie, NY 12603-1820

Mailing address

724 Main St
Poughkeepsie, NY 12603-1820
Phone (845) 473-3784

Other identifiers 1

IdentifierTypeStateIssuer
5804477OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • POUGHKEEPSIE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

724 Main St
Poughkeepsie, NY 12603
Phone (845) 473-3784

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1154605269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031820",
            "telephone_number": "845-473-3784",
            "fax_number": "845-473-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031820",
            "telephone_number": "845-473-3784",
            "fax_number": "845-473-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUGHKEEPSIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "TALLA",
        "authorized_official_first_name": "SAMATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-392-8254"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5804477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POUGHKEEPSIE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.