Colonial LTC Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

030513 Issued in NY

Legal business name

COLONIAL LTC PHARMACY, INC

Practice address

100 Main St
Suite 1
Whitesboro, NY 13492-1027

Phone

(315) 868-4073

Fax

(315) 736-7396

NPI assigned

Jan 19, 2011

Last updated

Jan 19, 2011By 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. Robert Brayton Langdon III, RPH.

Title

President

Phone

(315) 868-4073

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1275838492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921027",
            "telephone_number": "315-868-4073",
            "fax_number": "315-736-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921027",
            "telephone_number": "315-868-4073",
            "fax_number": "315-736-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL LTC PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-868-4073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "030513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcellus R Cephas, MD
• Carl Raymond Chiasson, AU.D.
• Christopher Page Physical Therapy P.C.
• Rene' Marie Ciaccia, LCSW-R
• Denise K Collins, P.T.A.
• Colonial Pharmacy of Whitesboro Inc
• Crystal Kim Copeland, LMSW
• Joseph Cosentino, CRNA
• Elizabeth Anne Dean
• Burton Deis, R.PH.

• Long Term Care Pharmacy in Whitesboro, NY
• Providers in Whitesboro, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.