Addisons Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029862 Issued in NY

Legal business name

ADDISONS APOTHECARY INC

Doing business as

Addison's Apothecary Inc

Practice address

36 Main St
Addison, NY 14801-1210

Phone

(607) 504-4091

Fax

(607) 504-4107

NPI assigned

Oct 30, 2009

Last updated

Aug 12, 2016By 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

John PaganoNPI 1003942590

Title

President

Phone

(607) 962-3578

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Addison's Apothecary Inc Doing business as

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.

• John V Pagano, RPH

  • Pharmacist
  • Corning, NY
  • NPI 1003942590
  Authorized official Same address or phone

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1356677041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "148011210",
            "telephone_number": "607-504-4091",
            "fax_number": "607-504-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "148011210",
            "telephone_number": "607-504-4091",
            "fax_number": "607-504-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISONS APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-962-3578"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182318",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison's Apothecary Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addison Central School
• Susan R Andrews, LPN
• Deborah D Bump-Brown, RN
• Marta Canfield, MD
• CMV Pharmacy Inc (Addison Pharmacy)
• Corning Painted Post School District

• Community/Retail Pharmacy in Addison, NY
• Providers in Addison, 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 Aug 12, 2016; 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.