Organization Active NPI

Harveys Medical Ctr Pharmacy of Syrac

  • Community/Retail Pharmacy
  • Syracuse, NY
National Provider Identifier
1649377581
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
011928 Issued in NY
Legal business name
HARVEYS MEDICAL CTR PHARMACY OF SYRAC
Doing business as
HARVEYS PHARMACY
Practice address
833 E Genesee St
Syracuse, NY 13210-1507
Phone
(315) 476-9246
Fax
(315) 476-6421
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Gary Brothers, RPHNPI 1295953255
Title
Pres/Owner
Phone
(315) 476-9246

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 011928 NY Primary

Addresses

Primary practice location

833 E Genesee St
Syracuse, NY 13210-1507

Mailing address

833 E Genesee St
Syracuse, NY 13210-1507
Phone (315) 476-9246

Other identifiers 2

IdentifierTypeStateIssuer
2064797OtherPK
00521802MedicaidNY

Other names 1

  • HARVEYS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

833 E Genesee St
Syracuse, NY 13210
Phone (315) 476-9246

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1649377581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101507",
            "telephone_number": "315-476-9246",
            "fax_number": "315-476-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101507",
            "telephone_number": "315-476-9246",
            "fax_number": "315-476-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEYS MEDICAL CTR PHARMACY OF SYRAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "BROTHERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "315-476-9246",
        "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": "011928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064797",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00521802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.