Active NPI
Braunagel & Braunagel, Inc.
Doing business as Aliton's Pharmacy Home Healthcare Centers
- Community/Retail Pharmacy
- Port Jervis, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021257
- Legal business name
- BRAUNAGEL & BRAUNAGEL, INC.
- Doing business as
- Aliton's Pharmacy Home Healthcare Centers
- Practice address
- 12 Sussex St
Port Jervis, NY 12771-2421 - Phone
- (845) 856-8314
- Fax
- (845) 856-3875
- NPI assigned
- Jul 26, 2005
- Last updated
- Jan 27, 2025
- 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
- Carl Braunagel, MBA
- Title
- President
- Phone
- (845) 856-8314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 021257 | NY | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
12 Sussex St
Port Jervis, NY 12771-2421
Mailing address
12 Sussex St
Port Jervis, NY 12771-2421
Phone (845) 856-8314
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6464211 | Medicaid | NJ | |
| 0014316110004 | Medicaid | PA | |
| 01286268 | Medicaid | NY | |
| 3322043 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Aliton's Pharmacy Home Healthcare Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081270 | NY | DME Supplier - Pharmacy | 3971621707 | Practice locations: Port Jervis, NY |
| O20111025000001 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 3971621707 | Practice locations: Port Jervis, NY |
National Provider Directory
National Provider DirectoryLocations
12 Sussex St
Port Jervis, NY 12771
Phone (845) 586-8314
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Port Jervis, NY
- NPI 1215006523
-
- Pharmacist
- Port Jervis, NY
- NPI 1669541462
-
- Pharmacist
- Port Jervis, NY
- NPI 1396258349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1386644987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SUSSEX ST",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127712421",
"telephone_number": "845-856-8314",
"fax_number": "845-856-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SUSSEX ST",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127712421",
"telephone_number": "845-856-8314",
"fax_number": "845-856-3875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAUNAGEL & BRAUNAGEL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "BRAUNAGEL",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-856-8314",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "021257",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6464211",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014316110004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01286268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3322043",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aliton's Pharmacy Home Healthcare Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Jervis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.