Empire State Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EMPIRE STATE PHARMACY LLC

Practice address

155 Route 202 # Store1
Somers, NY 10589-1626

Phone

(844) 356-3779

Fax

(844) 357-3779

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Lawrence Paterno

Title

Pharmacist-in-Charge

Phone

(844) 356-3779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1437683406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROUTE 202 # STORE1",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891626",
            "telephone_number": "844-356-3779",
            "fax_number": "844-357-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ROUTE 202 # STORE1",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891626",
            "telephone_number": "844-356-3779",
            "fax_number": "844-357-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "PATERNO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "844-356-3779"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.