Active NPI
Davco Drug Co Inc
- Pharmacy
- Copake, NY
National Provider Identifier
1669455093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 019282
- Legal business name
- DAVCO DRUG CO INC
- Practice address
- 69 Main Street
Copake, NY 12516 - Phone
- (518) 329-4671
- NPI assigned
- Nov 21, 2005
- Last updated
- Feb 16, 2010
- 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
- Mr. Hugh Walter Davis, RPH
- Title
- President
- Phone
- (518) 329-4671
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 019282 | NY | Primary |
Addresses
Primary practice location
69 Main Street
Copake, NY 12516
Mailing address
PO Box 10
Copake, NY 12516-0010
Phone (518) 329-4671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00993857 | Medicaid | NY | |
| 3390731 | Other | NY | NCPDP NUMBER |
National Provider Directory
National Provider DirectoryLocations
69 Main St
Copake, NY 12516
Phone (518) 329-4671
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Copake, NY
- NPI 1649502972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266278400000",
"number": "1669455093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "COPAKE",
"state": "NY",
"postal_code": "125160010",
"telephone_number": "518-329-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 MAIN STREET",
"city": "COPAKE",
"state": "NY",
"postal_code": "12516",
"telephone_number": "518-329-4671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVCO DRUG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2010-02-16",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "HUGH",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-329-4671",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "019282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00993857",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "3390731",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Copake, NY
- Clausson-Raught Community Rescue Squad Inc (Community Rescue Squad)
- Columbia Memorial Hospital
- Columbia Memorial Hospital (Rapid Care Copake and Callan Family Care)
- Columbia Memorial Hospital
- George F Davis, M.D.
- Hugh Walter Davis, RPH
- Angela Gabriele Graetz
- Barbara Susan Herman, RN
- Tami Kander, MS, OTR L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.