NPIMap

Organization Active NPI

Dougherty Pharmacy Inc.

  • Community/Retail Pharmacy
  • Morrisville, NY
National Provider Identifier
1285657452
Registry record updated Mar 10, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022390 Issued in NY
Legal business name
DOUGHERTY PHARMACY INC.
Practice address
14 E Main St Box 237
Morrisville, NY 13408
Phone
(315) 684-3171
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Jennifer Caloia
Title
President
Phone
(315) 684-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022390 NY Primary

Addresses

Primary practice location

14 E Main St Box 237
Morrisville, NY 13408

Mailing address

14 E Main St Box 237
Morrisville, NY 13408
Phone (315) 684-3171

Other identifiers 2

IdentifierTypeStateIssuer
3376604OtherNCPDP
01547662MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1285657452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E MAIN ST BOX 237",
            "city": "MORRISVILLE",
            "state": "NY",
            "postal_code": "13408",
            "telephone_number": "315-684-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E MAIN ST BOX 237",
            "city": "MORRISVILLE",
            "state": "NY",
            "postal_code": "13408",
            "telephone_number": "315-684-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "CALOIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-684-3171"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3376604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01547662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.