Owego Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OWEGO PHARMACY INC

Doing business as

The Owego Pharmacy

Practice address

1135 State Route 17C
Owego, NY 13827-4823

Phone

(607) 687-8779

Fax

(607) 687-2135

NPI assigned

Nov 3, 2011

Last updated

Jan 12, 2021By 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. John P Gatto, RPHNPI 1164602066

Title

President

Phone

(607) 687-8779

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Owego Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Owego Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Owego Pharmacy Inc

  dba The Owego Pharmacy

  • Long Term Care Pharmacy
  • Owego, NY
  • NPI 1053104109
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Gatto, RPH

  • Pharmacist
  • Owego, NY
  • NPI 1164602066
  NPD Authorized official
• Nicolas Demoski Benson, PHARMD

  • Pharmacist
  • Vestal, NY
  • NPI 1508340118
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1295012342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 STATE ROUTE 17C",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138274823",
            "telephone_number": "607-687-8779",
            "fax_number": "607-687-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 STATE ROUTE 17C",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138274823",
            "telephone_number": "607-687-8779",
            "fax_number": "607-687-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEGO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "GATTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-687-8779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03454877",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Owego Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bhreagh Orrell, MD
• Kaitlin Osborne, ATC
• Owego
• Owego Chiropractic PC
• Owego Pharmacy Inc (The Owego Pharmacy)
• Anthony Owens
• Sheri A. Palm, LMSW
• Alysia Diane Palmer
• Jessica Palmer
• Rebecca Palmese, MS OTR/L

• Community/Retail Pharmacy in Owego, NY
• Providers in Owego, 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 Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.