Organization Active NPI

Oneida Medical Center Pharmacy Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Oneida, NY
National Provider Identifier
1588729909
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019003 Issued in NY
Legal business name
ONEIDA MEDICAL CENTER PHARMACY INC
Doing business as
Medicine Shoppe
Practice address
507 Lenox Ave
Oneida, NY 13421-1521
Phone
(315) 363-1750
NPI assigned
Dec 26, 2006
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
James Shovlin, RPHNPI 1346565454
Title
Owner
Phone
(315) 363-1750

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 019003 NY Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

507 Lenox Ave
Oneida, NY 13421-1521

Mailing address

507 Lenox Ave
Oneida, NY 13421-1521

Other identifiers 3

IdentifierTypeStateIssuer
3389827OtherOTHER ID NUMBER-COMMERCIAL NUMBER
00969746MedicaidNY
3389827OtherNYNCPDP

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

507 Lenox Ave
Oneida, NY 13421
Phone (315) 363-1750

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1588729909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211521",
            "telephone_number": "315-363-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SHOVLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-363-1750",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019003",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3389827",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00969746",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3389827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneida, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.