NPIMap

Organization Active NPI

Little Wing Pharmacy Inc

Doing business as Medicine shoppe

  • Community/Retail Pharmacy
  • New Hartford, NY
National Provider Identifier
1356865695
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023009 Issued in NY
Legal business name
LITTLE WING PHARMACY INC
Doing business as
Medicine shoppe
Practice address
18 Kellogg Rd
New Hartford, NY 13413-2825
Phone
(315) 735-7979
Fax
(315) 735-7388
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
James PooreNPI 1043498090
Title
President
Phone
(315) 632-1847

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023009 NY Primary

Addresses

Primary practice location

18 Kellogg Rd
New Hartford, NY 13413-2825

Mailing address

18 Kellogg Rd
New Hartford, NY 13413-2825
Phone (315) 735-7979

Other identifiers 1

IdentifierTypeStateIssuer
2169946OtherPK

Other names 1

  • Medicine shoppe Doing business as

National Provider Directory

National Provider Directory

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": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1356865695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KELLOGG RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132825",
            "telephone_number": "315-735-7979",
            "fax_number": "315-735-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KELLOGG RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132825",
            "telephone_number": "315-735-7979",
            "fax_number": "315-735-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE WING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-632-1847"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.