NPIMap

Organization Active NPI

William C. Irwin

Doing business as Molloy Pharmacy

  • Pharmacy
  • Hyde Park, NY
National Provider Identifier
1508885773
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
021141 Issued in NY
Legal business name
WILLIAM C. IRWIN
Doing business as
Molloy Pharmacy
Practice address
4170 Albany Post Rd
Hyde Park, NY 12538-1762
Phone
(845) 229-8881
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Mr. William Charles Irwin, R.PH,NPI 1285827808
Title
Owner/Pharmacist
Phone
(845) 229-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 021141 NY Primary

Addresses

Primary practice location

4170 Albany Post Rd
Hyde Park, NY 12538-1762

Mailing address

4170 Albany Post Rd
Hyde Park, NY 12538-1762
Phone (845) 229-8881

Other identifiers 1

IdentifierTypeStateIssuer
01267165MedicaidNY

Other names 1

  • Molloy Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4170 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 229-8881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1508885773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381762",
            "telephone_number": "845-229-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381762",
            "telephone_number": "845-229-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. IRWIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "845-229-8881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH,"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "021141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01267165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molloy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.