Organization Active NPI

Slate Hill Chemists Inc

  • Community/Retail Pharmacy
  • Slate Hill, NY
National Provider Identifier
1245571116
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032072 Issued in NY
Legal business name
SLATE HILL CHEMISTS INC
Doing business as
Slate Hill NeighboRx Pharmacy
Practice address
2904 Route 6 Ste 8-9
Slate Hill, NY 10973-3810
Phone
(845) 355-5555
Fax
(845) 355-2525
NPI assigned
Mar 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Alfonso SquitieriNPI 1043495054
Title
President / SP
Phone
(845) 355-5555

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 032072 NY Primary

Addresses

Primary practice location

2904 Route 6 Ste 8-9
Slate Hill, NY 10973-3810

Mailing address

2904 Route 6
Ste 8-9
Slate Hill, NY 10973-3810
Phone (845) 355-5555

Other identifiers 2

IdentifierTypeStateIssuer
2139256OtherPK
03940076MedicaidNY

Other names 1

  • Slate Hill NeighboRx Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20131218000152 NY DME Supplier - Pharmacy 7315174448 Practice locations: Slate Hill, NY
O20151218000553 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7315174448 Practice locations: Slate Hill, NY
O20210105001703 NY Part B Supplier - Pharmacy 7315174448 Practice locations: Slate Hill, NY
O20210107000734 NY Part B Supplier - Independent Clinical Laboratory 7315174448 Practice locations: Slate Hill, NY

National Provider Directory

National Provider Directory
Tax ID family
Slate Hill Chemists 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.

Locations

2904 Route 6
#89
Slate Hill, NY 10973
Phone (845) 355-5555

2904 Route 6
Ste 8
Slate Hill, NY 10973
Phone (845) 355-5555

2904 Route 6
Slate Hill, NY 10973
Phone (845) 355-4611

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1245571116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 ROUTE 6",
            "address_2": "STE 8-9",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109733810",
            "telephone_number": "845-355-5555",
            "fax_number": "845-355-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 ROUTE 6 STE 8-9",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109733810",
            "telephone_number": "845-355-5555",
            "fax_number": "845-355-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE HILL CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "SQUITIERI",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT / SP",
        "authorized_official_telephone_number": "845-355-5555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139256",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03940076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slate Hill NeighboRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Slate Hill NeighboRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slate Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.