Organization Active NPI

Molloy Medical Arts Pharma Inc

  • Long Term Care Pharmacy
  • Poughkeepsie, NY
National Provider Identifier
1194547562
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MOLLOY MEDICAL ARTS PHARMA INC
Practice address
19 Baker Ave Ste 207
Poughkeepsie, NY 12601-1375
Phone
(845) 471-7455
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Ganesh Krishnachand Talasila
Title
Supervising Pharmacist
Phone
(845) 471-7455

Specialties & licenses 1

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

Addresses

Primary practice location

19 Baker Ave Ste 207
Poughkeepsie, NY 12601-1375

Mailing address

19 Baker Ave Ste 207
Poughkeepsie, NY 12601-1375
Phone (845) 471-7455

Other names 1

  • MOLLOY MEDICAL ARTS PHARMACY-LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Molloy Medical Arts Pharma 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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1194547562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE STE 207",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011375",
            "telephone_number": "845-471-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE STE 207",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011375",
            "telephone_number": "845-471-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLOY MEDICAL ARTS PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "TALASILA",
        "authorized_official_first_name": "GANESH KRISHNACHAND",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "845-471-7455"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOLLOY MEDICAL ARTS PHARMACY-LTC",
            "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 Oct 28, 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.