Taconic Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TACONIC PHARMACY INC

Practice address

3659 Lee Rd
Jefferson Valley, NY 10535-1507

Phone

(914) 245-3334

Fax

(914) 245-4096

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Anthony John Ciarletta, R.PH.

Title

Vice President

Phone

(914) 245-3334

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TACONIC PHARMACY Doing business as

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1376387886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 LEE RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351507",
            "telephone_number": "914-245-3334",
            "fax_number": "914-245-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 LEE RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351507",
            "telephone_number": "914-245-3334",
            "fax_number": "914-245-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "CIARLETTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "914-245-3334",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD LICENSE NUMBER",
            "identifier": "030654",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03351622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TACONIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Grace Schmitt, MS, CCC-SLP
• John Daniel Scinto, MD
• Lauren Seiler
• Timothy J Siglock, M.D.
• Sissi Home Care Inc
• Taconic Pharmacy Inc
• Talk & Learn Therapy Services LLC
• Mrudangi Thakur, M.D
• Total Care Pharmacy J.V. Inc
• Anne Marie Tucci

• Long Term Care Pharmacy in Jefferson Valley, NY
• Providers in Jefferson Valley, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.