Jefferson Heights Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

017244 Issued in NY

Legal business name

JEFFERSON HEIGHTS PHARMACY

Practice address

165 Jefferson HTS
Catskill, NY 12414-1247

Phone

(518) 943-2441

Fax

(518) 943-1688

NPI assigned

Feb 5, 2007

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Tannenbaum

Title

Owner

Phone

(518) 943-2441

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RICHARD TANNENBAUM Other name

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1477692879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141247",
            "telephone_number": "518-943-2441",
            "fax_number": "518-943-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141247",
            "telephone_number": "518-943-2441",
            "fax_number": "518-943-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEIGHTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-943-2441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "017244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3372290",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00642613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARD TANNENBAUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hurley Avenue Family Medicine (Catskill Family Medicine)
• Ibrahim Y Rabadi MD PC
• Ibrahim Y Rabadi MD PC
• Kevin Edward Irish, M.D.
• Katherine M Izzo, RN
• Wendy Marie Johnson, FNP
• Donna J. Juliano, RN
• Kaaterskil Operating LLC
• Haroutioun Kalaidjian, RPH
• Allen Ira Kaplan, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.