Taconic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030654 Issued in NY

Legal business name

TACONIC PHARMACY INC

Doing business as

Taconic Pharmacy

Practice address

3659 Lee Rd
Jefferson Valley, NY 10535-1507

Phone

(914) 245-3334

Fax

(914) 245-4096

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Anthony Ciarletta, PHARMACIST

Title

Vice President

Phone

(914) 779-5133

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• TACONIC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY4 enrollments

Enrollment records 4

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Grassy Sprain Pharmacy,Inc

  • Community/Retail Pharmacy
  • Yonkers, NY
  • NPI 1982766770

  Member Of

  NPD member

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1548569098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 LEE RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351507",
            "telephone_number": "914-245-3334",
            "fax_number": "914-245-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 LEE RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351507",
            "telephone_number": "914-245-3334",
            "fax_number": "914-245-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "CIARLETTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "914-779-5133",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030654",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129648",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TACONIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Daniel Scinto, MD
• Lauren Seiler
• Timothy J Siglock, M.D.
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• Taconic Pharmacy Inc (Taconic Pharmacy)
• Talk & Learn Therapy Services LLC
• Mrudangi Thakur, M.D
• Total Care Pharmacy J.V. Inc
• Anne Marie Tucci
• Valley Dental Designs, PC

• Community/Retail Pharmacy in Jefferson Valley, NY
• Providers in Jefferson Valley, 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 Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.