NPIMap

Organization Active NPI

St. Mary'S Healthcare

  • Community/Retail Pharmacy
  • Amsterdam, NY
National Provider Identifier
1649941873
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST. MARY'S HEALTHCARE
Practice address
4950 State Highway 30
Amsterdam, NY 12010-7520
Phone
(518) 839-0601
Fax
(518) 839-0570
NPI assigned
Sep 27, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Miss Melissa R Paro
Title
Credential Specialist
Phone
(518) 770-7518

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 21

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

Practitioners 114

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

View all 114

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
St. Mary'S Healthcare
4950 State Highway 30, Amsterdam, NY 12010-7520 · (518) 839-0601		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Dec 15, 2022

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220311001315 NY DME Supplier - Pharmacy 7618960709 Practice locations: Amsterdam, NY
O20220331002359 NY Part B Supplier - Pharmacy 7618960709 Practice locations: Amsterdam, NY

National Provider Directory

Tax ID family
St Mays Hospital (22 organizations share this tax ID)

Locations

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

4950 State Highway 30
Amsterdam, NY 12010-7520

Mailing address

427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 841-7401

Other names 1

NPPES NPI Registry
  • St. Mary's Community 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 Dec 29, 2021.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1649941873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101064",
            "telephone_number": "518-841-7401",
            "fax_number": "518-841-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107520",
            "telephone_number": "518-839-0601",
            "fax_number": "518-839-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "PARO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIAL SPECIALIST",
        "authorized_official_telephone_number": "518-770-7518",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.