Organization Active NPI

Palmer Pharmacy Inc

  • Pharmacy
  • Trumansburg, NY
National Provider Identifier
1336249309
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
026807 Issued in NY
Legal business name
PALMER PHARMACY INC
Practice address
2083 RT 96
Trumansburg, NY 14886
Phone
(607) 387-6728
Fax
(607) 387-7045
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mr. Darren James Palmer, RPH MBANPI 1083745749
Title
Owner Ceo
Phone
(315) 730-0534

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 026807 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2083 RT 96
Trumansburg, NY 14886

Mailing address

PO Box 1048
Trumansburg, NY 14886
Phone (607) 387-6728

Other identifiers 2

IdentifierTypeStateIssuer
02587960MedicaidNY
3340318OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

2083 Route 96
Trumansburg, NY 14886
Phone (607) 387-6728

Practitioners & affiliated clinicians

Practitioners 1

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1336249309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "14886",
            "telephone_number": "607-387-6728",
            "fax_number": "607-387-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 RT 96",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "14886",
            "telephone_number": "607-387-6728",
            "fax_number": "607-387-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "315-730-0534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026807",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587960",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3340318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumansburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.