Organization Active NPI

Natures Apothecary LLC

  • Compounding Pharmacy
  • Ithaca, NY
National Provider Identifier
1366898207
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
034303 Issued in NY
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

Updated by the provider on Jul 12, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2160960OtherPK

Other names 1

  • Nature's Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.