Smith Street Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025253 Issued in NY

Legal business name

SMITH STREET PHARMACY CORPORATION

Practice address

269 Mansion St
Poughkeepsie, NY 12601-2623

Phone

(845) 471-6440

Fax

(845) 471-7258

NPI assigned

Sep 21, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy DittenhoeferNPI 1780762013

Title

Owner/Pharmacist

Phone

(845) 471-6440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Timothy A Dittenhoefer, RPH

  • Pharmacist
  • Poughkeepsie, NY
  • NPI 1780762013
  NPD (past) Authorized official
• Ronald A Giordano, RPH

  • Pharmacist
  • Poughkeepsie, NY
  • NPI 1669550976
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386742294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MANSION ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012623",
            "telephone_number": "845-471-6440",
            "fax_number": "845-471-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MANSION ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012623",
            "telephone_number": "845-471-6440",
            "fax_number": "845-471-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH STREET PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DITTENHOEFER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "845-471-6440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02254240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Noel Slocum, ANP-BC, PMHNP-BC
• Caitlin R Smart, CPNP
• Anke Smeele
• Andie Leigh Smestad, M.D.
• Shannon Smiley, PA-C
• Smith Street RX Inc (Smith Street Pharmacy)
• Andrea M Smith, PMHNP-BC
• Aurel Smith
• Darryl Dwayne Smith, D.O.
• Denise Smith

• Community/Retail Pharmacy in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.