Organization Active NPI

Pine Hill Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • Cato, NY
National Provider Identifier
1508052051
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033240 Issued in NY
Legal business name
PINE HILL HOMETOWN PHARMACY INC
Doing business as
Pine Hill Hometown Pharmacy
Practice address
2949 State Route 370
Cato, NY 13033-9778
Phone
(315) 626-3161
Fax
(315) 626-9919
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Craig Rowland, BS PHARMACYNPI 1730366170
Title
President
Phone
(315) 885-6663

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 033240 NY Primary

Addresses

Primary practice location

2949 State Route 370
Cato, NY 13033-9778

Mailing address

2949 State Route 370
Cato, NY 13033-9778
Phone (315) 626-3161

Other identifiers 2

IdentifierTypeStateIssuer
2927833MedicaidNY
2149150OtherPK

Other names 1

  • Pine Hill Hometown Pharmacy Doing business as

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1508052051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 STATE ROUTE 370",
            "city": "CATO",
            "state": "NY",
            "postal_code": "130339778",
            "telephone_number": "315-626-3161",
            "fax_number": "315-626-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 STATE ROUTE 370",
            "city": "CATO",
            "state": "NY",
            "postal_code": "130339778",
            "telephone_number": "315-626-3161",
            "fax_number": "315-626-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HILL HOMETOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-885-6663",
        "authorized_official_credential": "BS PHARMACY"
    },
    "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": "033240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927833",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149150",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Hill Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cato, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.