Adirondack Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028290 Issued in NY

Legal business name

ADIRONDACK APOTHECARY LLC

Practice address

3932 Nys Route 22
Willsboro, NY 12996-4507

Phone

(518) 963-8946

Fax

(518) 963-7322

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Rebecca Doyle, PHARMD

Title

Vice President

Phone

(518) 532-0005

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WILLSBORO PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

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

• Adirondack Apothecary LLC

  • Community/Retail Pharmacy
  • Port Henry, NY
  • NPI 1568573848

  2365650306

  Same PAC ID
• Adirondack Apothecary, LLC

  • Community/Retail Pharmacy
  • Schroon Lake, NY
  • NPI 1326183963

  2365650306

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adirondack Apothecary LLC

  • Community/Retail Pharmacy
  • Port Henry, NY
  • NPI 1568573848

  O20151102000272

  Same enrollment
• Adirondack Apothecary, LLC

  • Community/Retail Pharmacy
  • Schroon Lake, NY
  • NPI 1326183963

  O20151102000272

  Same enrollment

Tax ID family

Adirondack Apothecary LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Adirondack Apothecary LLC

  • Long Term Care Pharmacy
  • Port Henry, NY
  • NPI 1437012275
  NPD tax ID
• Adirondack Apothecary LLC

  • Long Term Care Pharmacy
  • Willsboro, NY
  • NPI 1508729344
  NPD tax ID
• Adirondack Apothecary, LLC

  • Community/Retail Pharmacy
  • Schroon Lake, NY
  • NPI 1326183963
  NPD tax ID
• Adirondack Apothecary, LLC

  • Long Term Care Pharmacy
  • Schroon Lake, NY
  • NPI 1912860743
  NPD tax ID

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1174667117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "SCHROON LAKE",
            "state": "NY",
            "postal_code": "128700458",
            "telephone_number": "518-532-7575",
            "fax_number": "518-532-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 NYS ROUTE 22",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129964507",
            "telephone_number": "518-963-8946",
            "fax_number": "518-963-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "518-532-0005",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLSBORO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee T Ackley, RPA-C
• Adirondack Apothecary LLC
• Associated Community Action of the North East Adirondack Region, Inc.
• David George Bonfante, D.D.S.
• Donna Ann Brown-Joerg
• Brian Callahan, P.A.

• Community/Retail Pharmacy in Willsboro, NY
• Providers in Willsboro, 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 Dec 8, 2025; 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.