Active NPI
Little Wing Pharmacy Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- New Hartford, NY
National Provider Identifier
1386756393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LITTLE WING PHARMACY INC
- Doing business as
- Medicine Shoppe
- Practice address
- 18 Kellogg Rd
New Hartford, NY 13413-2825 - Phone
- (315) 735-7979
- Fax
- (315) 735-7388
- NPI assigned
- Aug 31, 2006
- 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
- Paul McDonald, RPH
- Title
- Owner Pharmacist
- Phone
- (315) 735-7979
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 023009 | NY | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
18 Kellogg Rd
New Hartford, NY 13413-2825
Mailing address
18 Kellogg Rd
New Hartford, NY 13413-2825
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3315036 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 01681098 | Medicaid | NY | |
| 3315036 | Other | NY | NCPDP # |
Other names 1
- MEDICINE SHOPPE
National Provider Directory
National Provider DirectoryLocations
18 Kellogg Rd
New Hartford, NY 13413
Phone (315) 510-3141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1386756393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 KELLOGG RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 KELLOGG RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132825",
"telephone_number": "315-735-7979",
"fax_number": "315-735-7388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE WING PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "315-735-7979",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "023009",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3315036",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01681098",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "3315036",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Hartford, NY
Sources for this page
- 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.