William Lincourt, RPH
Individual provider Active NPI Pharmacist · Chittenango, NY
NPI 1194904433 · NPPES record last updated Nov 2, 2007
Key facts
- NPI
- 1194904433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20898 (NY)
- Practice address
- 1365 W Genesee St
Chittenango, NY 13037-8505 - Phone
- (315) 687-3841
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20898 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20898 | NY | Yes |
Addresses
Primary practice location
1365 W Genesee St
Chittenango, NY 13037-8505
Mailing address
423 W Lewis St
Canastota, NY 13032-1012
Phone (315) 967-7631
Other providers in Chittenango, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.