NPIMap

Organization Active NPI

Marlene a Gregory

  • Community/Retail Pharmacy
  • Cattaraugus, NY
National Provider Identifier
1316041379
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022893 Issued in NY
Legal business name
MARLENE A GREGORY
Doing business as
CORNER DRUG STORE
Practice address
1 Washington St
Cattaraugus, NY 14719-1015
Phone
(716) 257-3741
Fax
(716) 257-9586
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Marlene GregoryNPI 1447575535
Title
Owner/Pharmacist
Phone
(716) 257-3741

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022893 NY Primary

Addresses

Primary practice location

1 Washington St
Cattaraugus, NY 14719-1015

Mailing address

1 Washington St
Cattaraugus, NY 14719-1015
Phone (716) 257-3741

Other identifiers 2

IdentifierTypeStateIssuer
01640546MedicaidNY
2064619OtherPK

Other names 1

  • CORNER DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

1 Washington St
Cattaraugus, NY 14719
Phone (716) 257-3741

Practitioners & affiliated clinicians

Practitioners 2

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1316041379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "147191015",
            "telephone_number": "716-257-3741",
            "fax_number": "716-257-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "147191015",
            "telephone_number": "716-257-3741",
            "fax_number": "716-257-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE A GREGORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "716-257-3741"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640546",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cattaraugus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.