Peters Pharmacy of Narrowsburg

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

011923 Issued in NY

Legal business name

PETERS PHARMACY OF NARROWSBURG

Practice address

110 Kirks Rd
Narrowsburg, NY 12764-6430

Phone

(845) 252-3003

Fax

(845) 252-3616

NPI assigned

Mar 1, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Colin Anthony Peters Sr., R.PH.NPI 1699835538

Title

Owner

Phone

(845) 252-3003

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colin Anthony Peters Sr., R.PH.

  • Pharmacist
  • Narrowsburg, NY
  • NPI 1699835538
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1316075443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KIRKS RD",
            "address_2": "PO BOX 167",
            "city": "NARROWSBURG",
            "state": "NY",
            "postal_code": "127646430",
            "telephone_number": "845-252-3003",
            "fax_number": "845-252-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KIRKS RD",
            "city": "NARROWSBURG",
            "state": "NY",
            "postal_code": "127646430",
            "telephone_number": "845-252-3003",
            "fax_number": "845-252-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS PHARMACY OF NARROWSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-252-3003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "011923",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "011923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015104750001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01344590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Highland Physicians, LTD
• Kim Alicia Jackowski, RN
• Colleen Joyce
• Danielle Marie Martin - Fairchild, RN
• Narrowsburg Manor LLC
• Colin Anthony Peters Sr., R.PH.
• Colleen Clarke Rizzo, MHS OTR/L
• Thomas Scott Rue, M.A., LMHC, CASAC
• Sullivan Manor LLC (Sullivan Gardens)
• Tusten Volunteer Ambulance Service, Inc.

• Community/Retail Pharmacy in Narrowsburg, NY
• Providers in Narrowsburg, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.