TLC Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026746 Issued in NY

Legal business name

TLC PHARMACY INC

Doing business as

TLC Pharmacy Inc

Practice address

1509 State St
Watertown, NY 13601-3517

Phone

(315) 786-1746

Fax

(315) 786-7137

NPI assigned

Sep 19, 2005

Last updated

Apr 29, 2009By 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

Laura Soboleski

Title

Pres

Phone

(315) 786-1746

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TLC PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1275528929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013517",
            "telephone_number": "315-786-1746",
            "fax_number": "315-786-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "SOBOLESKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "315-786-1746"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3332993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02544232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Tiller
• Isaiah M Tillman, PRS/PSR
• Sandra Elizabeth Timerman, M.D.
• William C Tinelli, DDS
• John Alexander Tinsley, EDD
• Timothy B Tobin II, PSYD MA LCMHC LPC
• Georges Tohme, DMD
• Maurice Tom Pack, M.D.
• Kristin Alice Tooley, LCSW-R
• Desiree Michelle Torres Colon

• Community/Retail Pharmacy in Watertown, NY
• Providers in Watertown, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.