Organization Active NPI

Davco Drug Co Inc

  • Pharmacy
  • Copake, NY
National Provider Identifier
1669455093
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
019282 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mr. Hugh Walter Davis, RPHNPI 1649502972
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00993857MedicaidNY
3390731OtherNYNCPDP NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.