NPIMap

Organization Active NPI

The Golub Corporation

  • Community/Retail Pharmacy
  • Malta, NY
National Provider Identifier
1477855229
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030527 Issued in NY
Legal business name
THE GOLUB CORPORATION
Practice address
1 Kendall Way
Malta, NY 12020-4399
Phone
(518) 899-6063
Fax
(518) 899-6064
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Scott Guisinger
Title
VP of Pharmacy
Phone
(518) 379-2409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 030527 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1 Kendall Way
Malta, NY 12020-4399

Mailing address

461 Nott St
MB#202
Schenectady, NY 12308-1812
Phone (518) 379-1618

Other identifiers 2

IdentifierTypeStateIssuer
2127806OtherPK
3304092MedicaidNY

Other names 1

  • Price Chopper Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090814000093 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7911059183 49 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newburgh, NY; Norwich, NY; Ogdensburg, NY; Oneida, NY; Oneonta, NY; Guilderland, NY; Palatine Bridge, NY; Plattsburgh, NY…
O20110208000488 NY DME Supplier - Pharmacy 7911059183 Practice locations: Malta, NY

Other NPIs on the same Medicare enrollment 44

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 44

National Provider Directory

National Provider Directory
Tax ID family
Price Chopper Pharmacy47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 Kendall Way
Malta, NY 12020
Phone (518) 899-6063

Practitioners & affiliated clinicians

Practitioners 2

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1477855229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NOTT ST",
            "address_2": "MB#202",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081812",
            "telephone_number": "518-379-1618",
            "fax_number": "518-356-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENDALL WAY",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204399",
            "telephone_number": "518-899-6063",
            "fax_number": "518-899-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOLUB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GUISINGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "518-379-2409"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030527",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127806",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3304092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Chopper Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.