NPIMap

Organization Active NPI

200 Bassett Road Operating Company, LLC

  • Long Term Care Pharmacy
  • Williamsville, NY
National Provider Identifier
1407281835
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
031932 Issued in NY
Legal business name
200 BASSETT ROAD OPERATING COMPANY, LLC
Practice address
200 Bassett Rd
Williamsville, NY 14221-2639
Phone
(716) 689-6681
NPI assigned
Sep 4, 2013
Organization subpart
Yes
Parent organization
200 BASETT ROAD OPERATING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Mr. Gregory Hook
Title
Chief Compliance Officer
Phone
(212) 802-7609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 031932 NY Primary

Addresses

Primary practice location

200 Bassett Rd
Williamsville, NY 14221-2639

Mailing address

641 Lexington Ave
31St Floor
New York, NY 10022-4503
Phone (212) 802-7609

Other identifiers 1

IdentifierTypeStateIssuer
031932OtherNYNY STATE BOARD OF PHARMACY REGISTRATION

National Provider Directory

National Provider Directory
Tax ID family
200 Bassett Road Operating Company LLC2 organizations share this tax ID, including this one
Part of
200 Bassett Road Operating Company LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1407281835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE",
            "address_2": "31ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "212-802-7609",
            "fax_number": "646-924-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BASSETT RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212639",
            "telephone_number": "716-689-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "200 BASSETT ROAD OPERATING COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "200 BASETT ROAD OPERATING COMPANY, LLC",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "HOOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "212-802-7609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "031932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF PHARMACY REGISTRATION",
            "identifier": "031932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.