Bigelows Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Sherburne, NY
NPI 1457429698 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1457429698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 012930 (NY)
- Legal business name
- BIGELOWS PHARMACY INC
- Practice address
- 6 N Main St
Sherburne, NY 13460-9545 - Phone
- (607) 674-9691
- Fax
- (607) 674-4428
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- John Kwasnik, RPH
- Title
- Pic
- Phone
- (607) 674-9691
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170804000619 | NY | Part B Supplier - Other | 2769753045 |
2 other NPIs on this enrollment Practice locations: New Berlin, NY; Norwich, NY; Sherburne, NY |
National Provider Directory
- Tax ID family
- Bigelows Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 012930 | NY | Yes |
Addresses
Primary practice location
6 N Main St
Sherburne, NY 13460-9545
Mailing address
6 N Main St
PO Box 487
Sherburne, NY 13460-9545
Phone (607) 674-9691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00550445 | Medicaid | NY | |
| 2067340 | Other | PK |
Other names
- SERVICE PHARMACY SHERBURNE
Other providers in Sherburne, NY
- Blanche Angelo
- Edgar P Badgley
- Pola Beagle
- Francis Michael Bianchi
- Ona Bodie
- Kathy Ann Bohndorf
- Lindsey Maurine Brown
- Kari Leigh Buck
- Susan Elizabeth Caraher
All providers in Sherburne, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.