Organization Active NPI

Dobbins Drugs Inc

  • Community/Retail Pharmacy
  • Lyons, NY
National Provider Identifier
1467524256
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
007039 Issued in NY
Legal business name
DOBBINS DRUGS INC
Doing business as
DOBBINS DRUGS INC
Practice address
52 William St
Lyons, NY 14489-1545
Phone
(315) 946-6691
Fax
(315) 946-4091
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Mr. Sean Christian DobbinsNPI 1467697946
Title
Pharmacist/Owner
Phone
(315) 946-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 007039 NY Primary

Addresses

Primary practice location

52 William St
Lyons, NY 14489-1545

Mailing address

52 William St
Lyons, NY 14489-1545
Phone (315) 946-6691

Other identifiers 2

IdentifierTypeStateIssuer
00472880MedicaidNY
2061067OtherPK

Other names 1

  • DOBBINS DRUGS INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 315-946-4091 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204001871 NY Part B Supplier - Pharmacy 6103945365 Practice locations: Lyons, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1467524256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WILLIAM ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891545",
            "telephone_number": "315-946-6691",
            "fax_number": "315-946-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WILLIAM ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891545",
            "telephone_number": "315-946-6691",
            "fax_number": "315-946-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBBINS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "315-946-6691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "007039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00472880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061067",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "315-946-4091",
            "affiliation": "N",
            "endpointDescription": "fax number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax machine",
            "address_1": "52 William Street",
            "city": "Lyons",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DOBBINS DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOBBINS DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyons, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.