NPIMap

Organization Active NPI

Professional Home Care Inc.

  • Community/Retail Pharmacy
  • Vestal, NY
National Provider Identifier
1629105846
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023309 Issued in NY
Legal business name
PROFESSIONAL HOME CARE INC.
Practice address
4401 Vestal Pkwy E
Vestal, NY 13850-3514
Phone
(607) 763-5600
Fax
(607) 763-5799
NPI assigned
Feb 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Joseph E. Cerra
Title
Ceo
Phone
(607) 763-5616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023309 NY Primary
Home Infusion Therapy Pharmacy 3336H0001X 023309 NY

Addresses

Primary practice location

4401 Vestal Pkwy E
Vestal, NY 13850-3514

Mailing address

4401 Vestal Pkwy E
Vestal, NY 13850-3514
Phone (607) 763-5600

Other identifiers 2

IdentifierTypeStateIssuer
3328071OtherNYNCPDP PHARMACY NUMBER
01762014MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Professional Home Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629105846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503514",
            "telephone_number": "607-763-5600",
            "fax_number": "607-763-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503514",
            "telephone_number": "607-763-5600",
            "fax_number": "607-763-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CERRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-763-5616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023309",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "023309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PHARMACY NUMBER",
            "identifier": "3328071",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.