NPIMap

Organization Active NPI

Fulton County RHCF Pharmacy

Doing business as Fulton County Resident Health Care Facility

  • Long Term Care Pharmacy
  • Gloversville, NY
National Provider Identifier
1598750457
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
020462 Issued in NY
Legal business name
FULTON COUNTY RHCF PHARMACY
Doing business as
Fulton County Resident Health Care Facility
Practice address
847 County Highway 122
Gloversville, NY 12078-6413
Phone
(518) 773-3471
Fax
(518) 725-4764
NPI assigned
Sep 16, 2005
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
John Desieno, RPHNPI 1750376000
Title
Supervising Pharmacist
Phone
(518) 773-3471

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
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 020462 NY Primary

Addresses

Primary practice location

847 County Highway 122
Gloversville, NY 12078-6413

Mailing address

847 County Highway 122
Gloversville, NY 12078-6413
Phone (518) 773-3471

Other identifiers 2

IdentifierTypeStateIssuer
02209543MedicaidNY
2059521OtherPK

Other names 1

  • FULTON COUNTY RESIDENT HEALTH CARE FACILITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton Cty Infirmary RH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

847 County Highway 122
Gloversville, NY 12078
Phone (518) 773-3400

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1598750457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 COUNTY HIGHWAY 122",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786413",
            "telephone_number": "518-773-3471",
            "fax_number": "518-725-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 COUNTY HIGHWAY 122",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786413",
            "telephone_number": "518-773-3471",
            "fax_number": "518-725-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY RHCF PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "DESIENO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "518-773-3471",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "020462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02209543",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULTON COUNTY RESIDENT HEALTH CARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.