NPIMap

Organization Active NPI

Mary Imogene Bassett Hospital

Doing business as Foxcare Pharmacy

  • Community/Retail Pharmacy
  • Oneonta, NY
National Provider Identifier
1174083190
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARY IMOGENE BASSETT HOSPITAL
Doing business as
Foxcare Pharmacy
Practice address
1 Foxcare Dr Ste 215
Oneonta, NY 13820-2154
Phone
(607) 431-5284
NPI assigned
Mar 25, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Dr. Kelly Rudd, PHARMD
Title
Network Pharmacy Director
Phone
(607) 547-3637

Specialties & licenses 1

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

Addresses

Primary practice location

1 Foxcare Dr Ste 215
Oneonta, NY 13820-2154

Mailing address

1 Foxcare Dr Ste 215
Oneonta, NY 13820-2154
Phone (607) 431-5284

Other names 1

  • FOXCARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190520000875 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3779488325 Practice locations: Oneonta, NY
O20210208002165 NY DME Supplier - Pharmacy 3779488325 Practice locations: Oneonta, NY

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mary Imogene Bassett Hosp38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

1 Foxcare Dr
Ste 215
Oneonta, NY 13820
Phone (607) 431-5284

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Little Falls HospitalLittle Falls, NY, CCN 33Z311 Hospital Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 331311 Hospital Operational/Managerial Control Oct 1, 2004
O'Connor HospitalDelhi, NY, CCN 331305 Hospital Operational/Managerial Control (100%) Jun 11, 2019
O'Connor HospitalDelhi, NY, CCN 33Z305 Hospital Operational/Managerial Control Jun 11, 2019
At Home Care IncorporatedOneonta, NY, CCN 337233 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jan 1, 1987
Little Falls HospitalDolgeville, NY, CCN 333984 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 333992 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital Richfield Springs Health CenterRichfield Springs, NY, CCN 333995 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital West Winfield Health CenterWest Winfield, NY, CCN 333996 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalSt Johnsville, NY, CCN 333993 Rural health clinic Operational/Managerial Control Oct 1, 2004

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1174083190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOXCARE DR STE 215",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202154",
            "telephone_number": "607-431-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOXCARE DR STE 215",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202154",
            "telephone_number": "607-431-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMOGENE BASSETT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "NETWORK PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "607-547-3637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOXCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.