Organization Active NPI

Quinlans Pharmacy Inc

Doing business as Quinlan's Pharmacy

  • Long Term Care Pharmacy
  • Wayland, NY
National Provider Identifier
1629010400
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
023241 Issued in NY
Legal business name
QUINLANS PHARMACY INC
Doing business as
Quinlan's Pharmacy
Practice address
107 N Main St
Ste B
Wayland, NY 14572-1033
Phone
(585) 728-2080
Fax
(585) 728-2198
NPI assigned
Jun 13, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
John Quinlan
Title
Owner
Phone
(585) 728-9120

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 023241 NY Primary

Addresses

Primary practice location

107 N Main St
Ste B
Wayland, NY 14572-1033

Mailing address

107 N Main St
Ste B
Wayland, NY 14572-1033
Phone (585) 728-2080

Other identifiers 2

IdentifierTypeStateIssuer
2064291OtherPK
01762752MedicaidNY

Other names 1

  • Quinlan's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080107000444 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5698855492 1 other NPI on this enrollment
Practice locations: Montour Falls, NY; Wayland, NY
O20100930038504 NY DME Supplier - Pharmacy 5698855492 Practice locations: Wayland, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

231 Parrish St
Canandaigua, NY 14424
Phone (585) 394-8800

4162 Reservoir Rd
Geneseo, NY 14454
Phone (585) 443-8014

107 N Main St
Ste B
Wayland, NY 14572
Phone (585) 728-2080

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1629010400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "address_2": "STE B",
            "city": "WAYLAND",
            "state": "NY",
            "postal_code": "145721033",
            "telephone_number": "585-728-2080",
            "fax_number": "585-728-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "address_2": "STE B",
            "city": "WAYLAND",
            "state": "NY",
            "postal_code": "145721033",
            "telephone_number": "585-728-2080",
            "fax_number": "585-728-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINLANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-728-9120"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "023241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064291",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quinlan's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.