Whartons Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028217 Issued in NY

Legal business name

WHARTONS PHARMACY CORP

Doing business as

Wharton's Apothecary

Practice address

901 Cross Bay Blvd
Broad Channel, NY 11693-1125

Phone

(718) 634-3733

Fax

(718) 634-3377

NPI assigned

Apr 23, 2007

Last updated

Feb 9, 2008By 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

Mr. Charles Howard

Title

Owner

Phone

(718) 634-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wharton's Apothecary Doing business as

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1275751687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CROSS BAY BLVD",
            "city": "BROAD CHANNEL",
            "state": "NY",
            "postal_code": "116931125",
            "telephone_number": "718-634-3733",
            "fax_number": "718-634-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CROSS BAY BLVD",
            "city": "BROAD CHANNEL",
            "state": "NY",
            "postal_code": "116931125",
            "telephone_number": "718-634-3733",
            "fax_number": "718-634-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARTONS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-634-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02890164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wharton's Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Scott, DC
• Jeanette Michelle Stewart, BA, MA
• Loretta Stone
• Kelsey Elizabeth Trudden
• Erin Walsh, MA CCC/SLP

• Community/Retail Pharmacy in Broad Channel, NY
• Providers in Broad Channel, 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 Feb 9, 2008; 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.