Dedrick's Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

011044 Issued in NY

Legal business name

DEDRICK'S PHARMACY INC.

Doing business as

Nekos-Dedrick's Pharmacy

Practice address

86 N Front St
Kingston, NY 12401-3832

Phone

(845) 338-8000

Fax

(845) 338-5128

NPI assigned

Jun 30, 2005

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George S Nekos, R.PH.NPI 1154645034

Title

Owner

Phone

(845) 338-8000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NEKOS-DEDRICK'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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.

• George Stephen Nekos, R.PH.

  • Pharmacist
  • Kingston, NY
  • NPI 1154645034
  NPD (past) Authorized official
• David Kristofor Bondarenka, PHARMD

  • Pharmacist
  • Kingston, NY
  • NPI 1598044380
  NPD (past)
• Kera Lynn Coisson, PHARMD, RPH

  • Pharmacist
  • Kingston, NY
  • NPI 1154887834
  NPD (past)
• Renee Lynn Nekos, PHARM D

  • Pharmacist
  • Kingston, NY
  • NPI 1033433164
  NPD (past)
• Melissa Anne Oles, RPH

  • Pharmacist
  • Kingston, NY
  • NPI 1649595133
  NPD (past)
• Maryann E Sheeley, R.PH.

  • Pharmacist
  • Kingston, NY
  • NPI 1588988786
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1225035538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 N FRONT ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013832",
            "telephone_number": "845-338-8000",
            "fax_number": "845-338-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 N FRONT ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013832",
            "telephone_number": "845-338-8000",
            "fax_number": "845-338-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDRICK'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "NEKOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-338-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "011044",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3334428",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00334001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEKOS-DEDRICK'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEKOS-DEDRICK'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark W Decesare, DC
• Alexandra Mae Decker, LMSW
• Deanna Decker
• Jessica Decker, RN
• Richard L Decrosta
• Charlee Degeorge
• Minya Erica Dejohnette, L.AC.
• Henriette Deknegt, LCSW
• Marie Patricia Delaparte, F.N.P.
• Stephanie L Delczeg

• Pharmacy in Kingston, NY
• Providers in Kingston, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.