Organization Active NPI

Lagrange Pharmacy Inc.

  • Pharmacy
  • Lagrangeville, NY
National Provider Identifier
1255673745
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
031906 Issued in NY
Legal business name
LAGRANGE PHARMACY INC.
Practice address
1520 Route 55
Unit #16
Lagrangeville, NY 12540-5236
Phone
(845) 447-1343
Fax
(845) 384-1115
NPI assigned
Mar 22, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Mr. Jeffrey Papo, RPH
Title
President
Phone
(845) 447-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 031906 NY Primary

Addresses

Primary practice location

1520 Route 55
Unit #16
Lagrangeville, NY 12540-5236

Mailing address

1520 Route 55
Unit #16
Lagrangeville, NY 12540-5236
Phone (845) 447-1343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230522002300 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8325309610 Practice locations: Lagrangeville, NY

National Provider Directory

National Provider Directory

Locations

1520 Route 55
Lagrangeville, NY 12540
Phone (845) 447-1343

1520 Route 55
Ste 16
Lagrangeville, NY 12540
Phone (845) 447-1343

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": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1255673745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ROUTE 55",
            "address_2": "UNIT #16",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405236",
            "telephone_number": "845-447-1343",
            "fax_number": "845-384-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ROUTE 55",
            "address_2": "UNIT #16",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405236",
            "telephone_number": "845-447-1343",
            "fax_number": "845-384-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "PAPO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-447-1343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.