Clintwood Health and Wellness

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028935 Issued in NY

Legal business name

CLINTWOOD HEALTH AND WELLNESS

Practice address

4700 Vestal Pkwy E
Vestal, NY 13850-3770

Phone

(607) 797-7770

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Jenny Landry

Title

President

Phone

(607) 797-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CLINTWOOD HEALTHY U Doing business as

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1356504351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503770",
            "telephone_number": "607-797-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTWOOD HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-797-7770"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3358315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINTWOOD HEALTHY U",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Cholko, PA
• Michele Ann Chou, M.A., CCC-SLP
• Michael Albert Christensen, OD
• Citizen Medical Care PLLC
• Kelly Anne Clark
• Leslie Cody, OTR/L
• Elizabeth Rose Collins, LPN
• Megan E Collins, DPT
• Ryan T. Comfort
• Jane M Connor, PH.D.

• Community/Retail Pharmacy in Vestal, NY
• Providers in Vestal, 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 9, 2008; 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.