Provisions Plus Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

022922 Issued in NY

Legal business name

PROVISIONS PLUS INC

Doing business as

Provisions Pharmacy

Practice address

11 South Main St.
Lyndonville, NY 14098

Phone

(585) 765-2492

Fax

(585) 765-9524

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By 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

Nick Partrick, RPH

Title

VP Owner

Phone

(585) 765-2492

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Provisions Pharmacy Doing business as

Locations

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.

• James Nicholas Partrick, RPH

  • Pharmacist
  • Lyndonville, NY
  • NPI 1083600613
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417082538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MAIN ST",
            "address_2": "PO BOX 479",
            "city": "LYNDONVILLE",
            "state": "NY",
            "postal_code": "14098",
            "telephone_number": "585-765-2492",
            "fax_number": "585-765-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH MAIN ST.",
            "city": "LYNDONVILLE",
            "state": "NY",
            "postal_code": "14098",
            "telephone_number": "585-765-2492",
            "fax_number": "585-765-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARTRICK",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VP OWNER",
        "authorized_official_telephone_number": "585-765-2492",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01657721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provisions Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Martucci, LPN
• Theodore R Nadelen III, MS, RN, FNP
• Noreen A. Nelson, CCC-SLP/L
• Oak Orchard Community Health Center, Inc. (Oak Orchard Health - Lyndonville)
• James Nicholas Partrick, RPH
• Suzanne Maria Stewart, PT
• Thomas L Wenhold Physical Therapist PC
• Krista Rose Travis, LPN
• Thomas L Wenhold, P.T.

• Pharmacy in Lyndonville, NY
• Providers in Lyndonville, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.