Active NPI
Natures Apothecary LLC
- Compounding Pharmacy
- Ithaca, NY
National Provider Identifier
1366898207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 034303
- Legal business name
- NATURES APOTHECARY LLC
- Practice address
- 301 S Meadow St
Ithaca, NY 14850-5215 - Phone
- (607) 273-3100
- Fax
- (607) 273-7979
- NPI assigned
- May 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Burke
- Title
- Owner/ Pharmacist
- Phone
- (607) 273-3100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | 034303 | NY | Primary |
Addresses
Primary practice location
301 S Meadow St
Ithaca, NY 14850-5215
Mailing address
301 S Meadow St
Ithaca, NY 14850-5215
Phone (607) 273-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160960 | Other | PK |
Other names 1
- Nature's Apothecary
National Provider Directory
National Provider DirectoryLocations
301 S Meadow St
Ithaca, NY 14850
Phone (607) 273-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1366898207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S MEADOW ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505215",
"telephone_number": "607-273-3100",
"fax_number": "607-273-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S MEADOW ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505215",
"telephone_number": "607-273-3100",
"fax_number": "607-273-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURES APOTHECARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OWNER/ PHARMACIST",
"authorized_official_telephone_number": "607-273-3100"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NY",
"license": "034303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2160960",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nature's Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.