Suny Health Science Center at Syracuse
Organization Active NPI Pharmacy · Syracuse, NY
NPI 1306567474 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1306567474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- SUNY HEALTH SCIENCE CENTER AT SYRACUSE
- Practice address
- 725 E Adams St RM 1031
Syracuse, NY 13210-2576 - Phone
- (315) 464-4380
- Fax
- (315) 464-4221
- NPI assigned
- Sep 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Stuart Wright
- Title
- Chief Financial Officer
- Phone
- (315) 464-5179
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 10
Member of 1
Practitioners 368
-
Basel Abuzuaiter, MD
-
Ali Al Ali, PA
-
Mariah Veronika Alcott, AGACNP-BC
-
Douglas Amodei, FNP-C
-
Martin R. Baker, NP
-
Elvira Banar, PA
-
Theresa Baxter, FNP
-
Laura Anne Beattie, PNP
-
Katie Rebecca Beebe, FNP-C
-
Charles Berardi, FNP-C
-
Arthur John Bigsby III, D.D.S.
-
Tricia Bishop, PA-C
-
Sarah Bowler, PA
-
Patricia Lynn Bravo, ANP
-
Todd C Bryant, FNP
-
Sarah Buck, NP
-
Monique Katitia Buissereth, FNP-BC
-
Jamie Lynn Bunting, FNP
-
Elsa M.L. Capria, FNP
-
Allison Carbery, NP
-
Rachel Carnicelli, FNP
-
Dominic A Carone, PHD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Upstate Outpatient Pharmacy at Napp |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180517002069 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214833086 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Syracuse, NY |
| O20231213000061 | NY | DME Supplier - Pharmacy | 7214833086 | Practice locations: Syracuse, NY |
National Provider Directory
- Tax ID family
- Syracuse University Hospital
Locations
3448 Route 31
Baldwinsville, NY 13027
Phone (315) 622-6395
8687 Carling Rd
Liverpool, NY 13090
Phone (315) 464-6543
3285 State Route 11A
Nedrow, NY 13120
Phone (315) 464-3165
105 County Route 45A
Oswego, NY 13126
Phone (315) 312-0089
475 Irving Ave
Ste 204
Syracuse, NY 13210
Phone (315) 634-4112
725 E Adams St
Rm 1031
Syracuse, NY 13210
Phone (315) 464-4380
655 Madison St
Syracuse, NY 13210
Phone (315) 426-7640
750 E Adams St
Rm 3717
Syracuse, NY 13210
4671 Onondaga Blvd
Syracuse, NY 13219
Phone (315) 475-1433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
725 E Adams St RM 1031
Syracuse, NY 13210-2576
Mailing address
750 E Adams St RM 3717
Syracuse, NY 13210-2306
Phone (315) 464-3784
Other names
- Upstate Outpatient Pharmacy at Nappi
Other providers in Syracuse, NY
- Bridget Sunkes
- Sunrise Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
- Suny Health Science Center at Syracuse
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.