Organization Active NPI

JT Tompkins Pharmacist LLC

Doing business as Mendon Pharmacy

  • Community/Retail Pharmacy
  • Mendon, NY
National Provider Identifier
1205900685
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028088 Issued in NY
Legal business name
JT TOMPKINS PHARMACIST LLC
Doing business as
Mendon Pharmacy
Practice address
51 Assembly Dr
Mendon, NY 14506
Phone
(585) 624-8010
Fax
(585) 624-8019
NPI assigned
Nov 20, 2006
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
John TompkinsNPI 1679770127
Title
Owner
Phone
(585) 624-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028088 NY Primary

Addresses

Primary practice location

51 Assembly Dr
Mendon, NY 14506

Mailing address

PO Box 654
Victor, NY 14564-0654

Other identifiers 1

IdentifierTypeStateIssuer
3352488OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MENDON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109001948 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1355545989 Practice locations: Mendon, NY

National Provider Directory

National Provider Directory

Locations

51 Assembly Dr
Mendon, NY 14506
Phone (585) 624-8010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1205900685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145640654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ASSEMBLY DR",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "14506",
            "telephone_number": "585-624-8010",
            "fax_number": "585-624-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT TOMPKINS PHARMACIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-624-8010"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3352488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENDON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.