Price Chopper Operating Co Inc
Organization Active NPI Clinic Pharmacy · Glens Falls, NY
NPI 1497869705 · NPPES record last updated Jul 23, 2015
Key facts
- NPI
- 1497869705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- 26281 (NY)
- Legal business name
- PRICE CHOPPER OPERATING CO INC
- Practice address
- 100 Broad St
Glens Falls, NY 12801-4349 - Phone
- (518) 798-3700
- Fax
- (518) 798-7594
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathleen Bryant
- Title
- VP of Pharmacy
- Phone
- (518) 379-1122
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Price Chopper Operating Co Inc |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033362 | NY | DME Supplier - Pharmacy | 5395865190 | Practice locations: Glens Falls, NY |
National Provider Directory
- Tax ID family
- Price Chopper Operating Co Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 26281 | NY | Yes |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
100 Broad St
Glens Falls, NY 12801-4349
Mailing address
461 Nott St
MB#202
Schenectady, NY 12308-1812
Phone (518) 379-1618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02461136 | Medicaid | NY | |
| 2059362 | Other | PK |
Other names
- HOUSE CALLS PHARMACY
Other providers in Glens Falls, NY
- Crystal M Pound
- Deena Powers
- Melisa L Powley
- Natalie Helen Pozzouli
- Frank Eugene Preda
- Sherrill J Pronto
- Jenna Putnam
- Hailey Anne Pytel
- Queensbury Taxi Cab and Limousine Services LLC
- Casey L. Quinn
All providers in Glens Falls, NY · Clinic 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 Jul 23, 2015. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.