Active NPI
William C Irwin
- Pharmacist
- Hyde Park, NY
National Provider Identifier
1285827808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034131
- Practice address
- 4170 Albany Post Rd
Hyde Park, NY 12538-1762 - Phone
- (845) 229-8881
- Fax
- (845) 229-8948
- NPI assigned
- Aug 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 034131 | NY | Primary |
Addresses
Primary practice location
4170 Albany Post Rd
Hyde Park, NY 12538-1762
Mailing address
4170 Albany Post Rd
Hyde Park, NY 12538-1762
Phone (845) 229-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01267165 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034131 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1285827808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4170 ALBANY POST RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381762",
"telephone_number": "845-229-8881",
"fax_number": "845-229-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 ALBANY POST RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381762",
"telephone_number": "845-229-8881",
"fax_number": "845-229-8948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "WILLIAM",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01267165",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.