Active NPI
Barths of Jamesport Inc
- Community/Retail Pharmacy
- Jamesport, NY
National Provider Identifier
1659744936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 034406
- Legal business name
- BARTHS OF JAMESPORT INC
- Practice address
- 1491 Main Road
Jamesport, NY 11947 - Phone
- (631) 722-3900
- Fax
- (631) 722-3999
- NPI assigned
- Nov 9, 2015
- Last updated
- May 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lou Cassara
- Title
- Owner
- Phone
- (631) 722-3900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 034406 | NY | Primary |
Addresses
Primary practice location
1491 Main Road
Jamesport, NY 11947
Mailing address
PO Box 667
Jamesport, NY 11947-0667
Phone (631) 722-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157371 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180112000738 | NY | Part B Supplier - Pharmacy | 8628337938 |
1 other NPI on this enrollment Practice locations: Jamesport, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Barths of Jamesport Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Jamesport, NY
- NPI 1265909691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525392000000",
"number": "1659744936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"city": "JAMESPORT",
"state": "NY",
"postal_code": "119470667",
"telephone_number": "631-722-3900",
"fax_number": "631-722-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 MAIN ROAD",
"city": "JAMESPORT",
"state": "NY",
"postal_code": "11947",
"telephone_number": "631-722-3900",
"fax_number": "631-722-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTHS OF JAMESPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-09",
"last_updated": "2018-05-04",
"status": "A",
"authorized_official_last_name": "CASSARA",
"authorized_official_first_name": "LOU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-722-3900"
},
"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": "034406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157371",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamesport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.