Cory Pazcoguin

Primary specialty

PharmacistTaxonomy code 183500000X

License

060095 Issued in NY

Practice address

4820 W Taft Rd Ste 111
Liverpool, NY 13088-2800

Phone

(315) 468-0897

Fax

(315) 488-4789

NPI assigned

Mar 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Refresh Pharmacy USA LLC

  • Community/Retail Pharmacy
  • Liverpool, NY
  • NPI 1841754769
  NPD Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1417415795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JUNEBERRY LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903016",
            "telephone_number": "814-932-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD STE 111",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-468-0897",
            "fax_number": "315-488-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZCOGUIN",
        "first_name": "CORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Dino Patriarco, D.C.
• Eileen Rae Patterson, RN
• Keanah Patterson, LPN
• Laura Patulski, RN
• Paul T Fallon DDS PC
• Pediatric Now Medical Care, PLLC
• Benjamin Peet, DPT
• Emilia Kathleen Peluso, PA-C
• Wilfredo Perez, CASAC-T
• Charles Perla, MD

• Pharmacist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.