Active NPI
Tops Markets LLC
- Community/Retail Pharmacy
- Lagrangeville, NY
National Provider Identifier
1295284982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 034932
- Legal business name
- TOPS MARKETS LLC
- Practice address
- 16 Jon J Wagner Way
Lagrangeville, NY 12540-5062 - Phone
- (845) 473-0459
- Fax
- (855) 263-0227
- NPI assigned
- Sep 23, 2016
- Last updated
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Hamed
- Title
- Director of Pharmacy
- Phone
- (716) 635-5274
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 034932 | NY | Primary |
Addresses
Primary practice location
16 Jon J Wagner Way
Lagrangeville, NY 12540-5062
Mailing address
P.O. Box 1027
Buffalo, NY 14240
Phone (716) 635-5276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164295 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131023000025 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628189875 |
This NPI is an additional NPI on the enrollment Practice locations: Grand Island, NY; Greece, NY; Hamburg, NY; Hamlin, NY; Depew, NY; Irondequoit, NY; Ithaca, NY; Jamestown, NY… |
| O20161221001641 | NY | DME Supplier - Pharmacy | 8628189875 |
1 other NPI on this enrollment Practice locations: Lagrangeville, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Tops Pharmacy
- Community/Retail Pharmacy
- Lagrangeville, NY
- NPI 1053451260
O20161221001641
National Provider Directory
National Provider Directory- Tax ID family
- Tops Markets 041
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Rhinebeck, NY
- NPI 1063961753
-
- Community/Retail Pharmacy
- Williamsville, NY
- NPI 1164629366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1295284982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1027",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14240",
"telephone_number": "716-635-5276",
"fax_number": "716-635-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 JON J WAGNER WAY",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405062",
"telephone_number": "845-473-0459",
"fax_number": "855-263-0227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOPS MARKETS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-23",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "HAMED",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "716-635-5274"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "034932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2164295",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.