Individual provider Active NPI

Salvatore Anthony Sack, RPH

  • Pharmacist
  • W Henrietta, NY
National Provider Identifier
1598889164
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038175 Issued in NY
Practice address
201 Scottsville W Henrietta Rd
W Henrietta, NY 14586-9540
Phone
(585) 889-3510
Fax
(585) 334-5833
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038175 NY Primary

Addresses

Primary practice location

201 Scottsville W Henrietta Rd
W Henrietta, NY 14586-9540

Mailing address

201 Scottsville W Henrietta Rd
W Henrietta, NY 14586-9540
Phone (585) 889-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
038175NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Olde Canal Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1598889164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SCOTTSVILLE W HENRIETTA RD",
            "city": "W HENRIETTA",
            "state": "NY",
            "postal_code": "145869540",
            "telephone_number": "585-889-3510",
            "fax_number": "585-334-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SCOTTSVILLE W HENRIETTA RD",
            "city": "W HENRIETTA",
            "state": "NY",
            "postal_code": "145869540",
            "telephone_number": "585-889-3510",
            "fax_number": "585-334-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACK",
        "first_name": "SALVATORE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.