Organization Active NPI

Chelsea Drugs Inc

  • Pharmacy
  • New Hartford, NY
National Provider Identifier
1306903935
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
026090 Issued in NY
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

Updated by the provider on Dec 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Earl Robert Black Jr., RPHNPI 1114185642
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3336612OtherNABP
02522663MedicaidNY

Other names 1

  • Randalls Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930032437 NY DME Supplier - Pharmacy 5597973065 Practice locations: New Hartford, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.