Malcolm R. Parks

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MALCOLM R. PARKS

Practice address

7400 Turin Rd
Lowville, NY 13367-1721

Phone

(315) 376-4212

Fax

(315) 376-4366

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Malcolm Parks, RPH

Title

Owner Pharmacist

Phone

(315) 376-4212

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598870537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 TURIN RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 TURIN RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671721",
            "telephone_number": "315-376-4212",
            "fax_number": "315-376-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM R. PARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "315-376-4212",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "020243",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3394474",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01138650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lowville Medical Associates LLP
• Kim Lung, RN
• Lois Lyndaker, RN
• Steven L Lyndaker, MD
• M Lynn Pisaniello, MD
• Dyana Manning, PA
• Michael Alfred Maroli, PHARMD
• Jeffrey Martin, DO
• Michelle Renae Martin
• Robert C Martinucci, MD

• Community/Retail Pharmacy in Lowville, NY
• Providers in Lowville, 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 Mar 7, 2023; 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.