Active NPI
Palmer Pharmacy Inc
Doing business as South Seneca Pharmacy
- Pharmacy
- Ovid, NY
National Provider Identifier
1548286404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 017538
- Legal business name
- PALMER PHARMACY INC
- Doing business as
- South Seneca Pharmacy
- Practice address
- 7115 N Main St
Ovid, NY 14521 - Phone
- (607) 869-5033
- Fax
- (607) 869-5252
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 19, 2009
- Organization subpart
- Yes
- Parent organization
- PALMER PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darren James Palmer
- Title
- Owner Ceo
- Phone
- (315) 730-0534
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 017538 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
7115 N Main St
Ovid, NY 14521
Mailing address
PO Box 369
Ovid, NY 14521-0369
Phone (607) 869-5033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3374713 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 02869607 | Medicaid | NY |
Other names 1
- South Seneca Pharmacy
National Provider Directory
National Provider Directory- Part of
- Palmer Pharmacy Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1548286404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "OVID",
"state": "NY",
"postal_code": "145210369",
"telephone_number": "607-869-5033",
"fax_number": "607-869-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 N MAIN ST",
"city": "OVID",
"state": "NY",
"postal_code": "14521",
"telephone_number": "607-869-5033",
"fax_number": "607-869-5252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMER PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALMER PHARMACY INC",
"enumeration_date": "2006-07-14",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER CEO",
"authorized_official_telephone_number": "315-730-0534",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "017538",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3374713",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02869607",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Seneca Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ovid, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.