NPIMap

Organization Active NPI

Cathmin Corp

  • Community/Retail Pharmacy
  • Monroe, NY
National Provider Identifier
1164566154
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020555 Issued in NY
Legal business name
CATHMIN CORP
Practice address
1200 State Route 208
Suite #1
Monroe, NY 10950-4648
Phone
(845) 782-2260
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Mr. Martin Teich, RPHNPI 1750605168
Title
President
Phone
(845) 782-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020555 NY Primary

Addresses

Primary practice location

1200 State Route 208
Suite #1
Monroe, NY 10950-4648

Mailing address

1200 State Route 208
Suite #1
Monroe, NY 10950-4648
Phone (845) 782-2260

Other identifiers 2

IdentifierTypeStateIssuer
01172141MedicaidNY
33-95868OtherNYNCDPD

Other names 1

  • Blooming Grove Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1200 State Route 208
Ste 1
Monroe, NY 10950
Phone (845) 782-2260

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1164566154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 208",
            "address_2": "SUITE #1",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504648",
            "telephone_number": "845-782-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 208",
            "address_2": "SUITE #1",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504648",
            "telephone_number": "845-782-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHMIN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "TEICH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-782-2260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01172141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDPD",
            "identifier": "33-95868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blooming Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.