Barths of Jamesport Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BARTHS OF JAMESPORT INC

Practice address

1491 Main Rd
Jamesport, NY 11947

Phone

(631) 722-3900

Fax

(631) 722-3999

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By 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

Louis Vincent Cassara

Title

Owner/Pharmacist

Phone

(631) 722-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Barths of Jamesport Inc

  • Community/Retail Pharmacy
  • Jamesport, NY
  • NPI 1659744936

  O20180112000738

  Same enrollment

Tax ID family

Barths of Jamesport 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.

• Barths of Jamesport Inc

  • Community/Retail Pharmacy
  • Jamesport, NY
  • NPI 1659744936
  NPD tax ID

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1265909691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "JAMESPORT",
            "state": "NY",
            "postal_code": "119470667",
            "telephone_number": "631-722-3900",
            "fax_number": "631-722-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 MAIN RD",
            "city": "JAMESPORT",
            "state": "NY",
            "postal_code": "11947",
            "telephone_number": "631-722-3900",
            "fax_number": "631-722-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTHS OF JAMESPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "CASSARA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "631-722-3900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05021807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aid to the Developmentally Disabled, Inc
• Barths of Jamesport Inc
• Harold Thomas Gioscia, DDS
• Joseph F Sciotto, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.