Active NPI
Chelsea Drugs Inc
- Pharmacy
- New Hartford, NY
National Provider Identifier
1306903935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 026090
- Legal business name
- CHELSEA DRUGS INC
- Practice address
- 44 Genesee St
New Hartford, NY 13413 - Phone
- (315) 732-1615
- Fax
- (315) 732-3604
- NPI assigned
- Jan 2, 2007
- 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
- Mr. Earl Robert Black Jr., RPH
- Title
- President Pharmacist
- Phone
- (315) 737-1615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 026090 | NY | Primary |
Addresses
Primary practice location
44 Genesee St
New Hartford, NY 13413
Mailing address
44 Genesee St
New Hartford, NY 13413
Phone (315) 732-1615
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3336612 | Other | NABP | |
| 02522663 | Medicaid | NY |
Other names 1
- Randalls Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930032437 | NY | DME Supplier - Pharmacy | 5597973065 | Practice locations: New Hartford, NY |
National Provider Directory
National Provider DirectoryLocations
44 Genesee St
New Hartford, NY 13413
Phone (315) 732-1615
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Manlius, NY
- NPI 1114185642
-
- Pharmacist
- New Hartford, NY
- NPI 1083938294
-
- Pharmacist
- New Hartford, NY
- NPI 1679297527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229299200000",
"number": "1306903935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "13413",
"telephone_number": "315-732-1615",
"fax_number": "315-732-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "13413",
"telephone_number": "315-732-1615",
"fax_number": "315-732-3604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELSEA DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2008-12-15",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "EARL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT PHARMACIST",
"authorized_official_telephone_number": "315-737-1615",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "026090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3336612",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02522663",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Randalls Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.