Newark Village Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

026257 Issued in NY

Legal business name

NEWARK VILLAGE PHARMACY INC

Doing business as

Newark Village Pharmacy

Practice address

105 W Miller St
Newark, NY 14513-1422

Phone

(315) 331-9999

Fax

(315) 331-9958

NPI assigned

Sep 20, 2006

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darren Pynn, RPHNPI 1528213808

Title

Owner

Phone

(315) 331-9999

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NEWARK VILLAGE PHARMACY Doing business as

Practitioners 2

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.

• Darren Marshall Pynn, R.PH.

  • Pharmacist
  • Newark, NY
  • NPI 1528213808
  NPD (past) Authorized official
• Linda L Slattery

  • Pharmacist
  • Newark, NY
  • NPI 1841517810
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1568569408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MILLER ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MILLER ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131422",
            "telephone_number": "315-331-9999",
            "fax_number": "315-331-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "PYNN",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-331-9999",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026257",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02473449",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3334769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWARK VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Newark, NY
• Providers in Newark, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.