Organization Active NPI

Braunagel & Braunagel, Inc.

Doing business as Aliton's Pharmacy Home Healthcare Centers

  • Community/Retail Pharmacy
  • Port Jervis, NY
National Provider Identifier
1386644987
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021257 Issued in NY
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Carl Braunagel, MBANPI 1215006523
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6464211MedicaidNJ
0014316110004MedicaidPA
01286268MedicaidNY
3322043OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Aliton's Pharmacy Home Healthcare Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.