Gifford & West Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

016567 Issued in NY

Legal business name

GIFFORD & WEST PHARMACY INC

Practice address

300 Gifford St
Syracuse, NY 13204-3257

Phone

(315) 471-4139

Fax

(315) 471-4155

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Sambasiva Venigalla, RPH

Title

President

Phone

(315) 471-4139

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GIFFORD & WEST PHARMACY Doing business as

Locations

Practitioners 1

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

• Srikanth Venigalla, PHARMD

  • Pharmacist
  • Saint James, NY
  • NPI 1568885374
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1649366188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GIFFORD ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132043257",
            "telephone_number": "315-471-4139",
            "fax_number": "315-471-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GIFFORD ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132043257",
            "telephone_number": "315-471-4139",
            "fax_number": "315-471-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFFORD & WEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "SAMBASIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-471-4139",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "016567",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060556",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIFFORD & WEST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Gibson, CASAC-T
• Romario Gibson, MD
• Gideon Ochiabuto Dentistry PC
• Mary Gidney
• Susan J Giegold, PT
• Kelly Ann Gifford, LPN
• Abdul Augustus Gilbert
• Bradley Michael Gilbert, MD
• Jason Donald Gilbert, DO
• Jennifer Celeste Gilbert, MD

• All providers in Syracuse, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.