Market Street Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029137 Issued in NY

Legal business name

MARKET STREET APOTHECARY LLC

Doing business as

Market Street Apothecary LLC

Practice address

78 W Market St
Corning, NY 14830-2527

Phone

(607) 936-7023

Fax

(607) 936-7026

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Karen Hogue, RPH

Title

Owner, Supervising Pharmacist

Phone

(607) 936-7023

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Market Street Apothecary LLC Doing business as

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1548410913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 W MARKET ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302527",
            "telephone_number": "607-936-7023",
            "fax_number": "607-936-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 W MARKET ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302527",
            "telephone_number": "607-936-7023",
            "fax_number": "607-936-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER, SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "607-936-7023",
        "authorized_official_credential": "RPH"
    },
    "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": "029137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03036046",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Street Apothecary LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Anne Lynch-Raymond, AGPCNP
• Katherine Lynch, OTD, M.S., OTR/L
• Scott M Lynch, PA-C
• Angel Luis Malavet, M.D.
• Deepa Manimegalan, MD
• Market Street Chiropractic PLLC
• Alex Marsh
• Diane Marshall, MS, LMHC, CRC
• David Eugene Martin, M.D.
• Carla R a Mason, NP

• Community/Retail Pharmacy in Corning, NY
• Providers in Corning, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.