NPIMap

Organization Active NPI

Trotta'S West Street Pharmacy Inc.

  • Long Term Care Pharmacy
  • Harrison, NY
National Provider Identifier
1174367684
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TROTTA'S WEST STREET PHARMACY INC.
Practice address
15 Halstead Ave
Harrison, NY 10528-4002
Phone
(914) 835-1125
Fax
(914) 835-3943
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Anthony John Ciarletta, R.PH.
Title
Vice President
Phone
(914) 835-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

15 Halstead Ave
Harrison, NY 10528-4002

Mailing address

15 Halstead Ave
Harrison, NY 10528-4002
Phone (914) 835-1125

Other identifiers 2

IdentifierTypeStateIssuer
01999164MedicaidNY
009323OtherNYNYS BOARD LICENSE NUMBER

Other names 1

  • TROTTA'S WEST STREET PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trotta'S West Street Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1174367684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HALSTEAD AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284002",
            "telephone_number": "914-835-1125",
            "fax_number": "914-835-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HALSTEAD AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284002",
            "telephone_number": "914-835-1125",
            "fax_number": "914-835-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROTTA'S WEST STREET PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "CIARLETTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "914-835-1125",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01999164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD LICENSE NUMBER",
            "identifier": "009323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TROTTA'S WEST STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.