Jefferson Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

029537 Issued in NY

Legal business name

JEFFERSON PHARMACY INC

Doing business as

Jefferson Pharmacy INC

Practice address

4892 State Route 52
Jeffersonville, NY 12748-5617

Phone

(845) 482-5720

Fax

(845) 482-5771

NPI assigned

Jun 6, 2006

Last updated

Sep 23, 2014By 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

Maria NeumannNPI 1598947020

Title

Operating Officer

Phone

(845) 482-5720

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jefferson Pharmacy INC 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 2

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.

• Maria Neumann, RPH

  • Pharmacist
  • Jeffersonville, NY
  • NPI 1598947020
  NPD (past) Authorized official
• Joseph A Fiorille, R.PH

  • Pharmacist
  • Jeffersonville, NY
  • NPI 1366656019
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1235179771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "127480617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 STATE ROUTE 52",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "127485617",
            "telephone_number": "845-482-5720",
            "fax_number": "845-482-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "845-482-5720"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141164",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114490",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Pharmacy INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dependable Medical Transsport
• Eyes on Main St. Optometry PLLC
• Joseph A Fiorille, R.PH
• John Goodfriend
• Nicole Hillard, RN
• Jeffersonville Volunteer First Aid Corps Inc
• JJJ Yaut, LLC (Jeff Senior Living)
• Eileen Anne Krom, M.S. CCC-SLP
• Hunter Edward Mall, COTA
• Jodi Moran, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.