NPIMap

Organization Active NPI

Woodbury Pharmacy

  • Pharmacist
  • Highland Mills, NY
National Provider Identifier
1467588251
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
028133 Issued in NY
Legal business name
WOODBURY PHARMACY
Practice address
535 Route 32
Highland Mills, NY 10930-5150
Phone
(845) 928-3003
Fax
(845) 928-1063
NPI assigned
Feb 26, 2007
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Mr. Montasser Saadalla
Title
Owner
Phone
(845) 928-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 028133 NY Primary

Addresses

Primary practice location

535 Route 32
Highland Mills, NY 10930-5150

Mailing address

PO Box 1011
Highland Mills, NY 10930-1011
Phone (845) 928-3003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1467588251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109301011",
            "telephone_number": "845-928-3003",
            "fax_number": "845-928-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ROUTE 32",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305150",
            "telephone_number": "845-928-3003",
            "fax_number": "845-928-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "SAADALLA",
        "authorized_official_first_name": "MONTASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-928-3003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "028133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.