Active NPI
Clintwood Apothecary, LLC.
- Pharmacist
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045763
- Legal business name
- CLINTWOOD APOTHECARY, LLC.
- Practice address
- 343 Clinton St
Suite B
Binghamton, NY 13905-2017 - Phone
- (607) 729-6972
- Fax
- (607) 729-0177
- NPI assigned
- Aug 10, 2006
- Last updated
- Jun 20, 2008
- 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
- Mr. Edward Todd Landry
- Title
- Member/Pharmacist
- Phone
- (607) 729-6972
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045763 | NY | Primary |
Addresses
Primary practice location
343 Clinton St
Suite B
Binghamton, NY 13905-2017
Mailing address
343 Clinton St
Suite B
Binghamton, NY 13905-2017
Phone (607) 729-6972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02723866 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Clintwood Apothecary LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Binghamton, NY
- NPI 1033155585
Practitioners & affiliated clinicians
Practitioners 1
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
- Binghamton, NY
- NPI 1730257916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1407867120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 CLINTON ST",
"address_2": "SUITE B",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052017",
"telephone_number": "607-729-6972",
"fax_number": "607-729-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 CLINTON ST",
"address_2": "SUITE B",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052017",
"telephone_number": "607-729-6972",
"fax_number": "607-729-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTWOOD APOTHECARY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "MEMBER/PHARMACIST",
"authorized_official_telephone_number": "607-729-6972",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "045763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02723866",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.