NPIMap

Organization Active NPI

Auburn Correctional Fclty-Phcy

  • Institutional Pharmacy
  • Auburn, NY
National Provider Identifier
1629470612
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
010267 Issued in NY
Legal business name
AUBURN CORRECTIONAL FCLTY-PHCY
Practice address
135 State St
Auburn, NY 13024-9001
Phone
(315) 253-8401
Fax
(315) 255-1371
NPI assigned
Sep 22, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Grace EllegateNPI 1013284355
Title
Supervising RPH III
Phone
(315) 253-8401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Daniel a Spengler269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

135 State St
Auburn, NY 13024
Phone (315) 253-8401

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 010267 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

135 State St
Auburn, NY 13024-9001

Mailing address

135 State St
Auburn, NY 13024-9001
Phone (315) 253-8401

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2062691OtherPK

Other names 1

NPPES NPI Registry
  • AUBURN CORRECTIONAL FACILITY PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2014.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1629470612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 STATE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130249001",
            "telephone_number": "315-253-8401",
            "fax_number": "315-255-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 STATE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130249001",
            "telephone_number": "315-253-8401",
            "fax_number": "315-255-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN CORRECTIONAL FCLTY-PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "ELLEGATE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "SUPERVISING RPH III",
        "authorized_official_telephone_number": "315-253-8401"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NY",
            "license": "010267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUBURN CORRECTIONAL FACILITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.