NPIMap

Organization Active NPI

Baxters Haverstraw, Inc.

  • Community/Retail Pharmacy
  • West Haverstraw, NY
National Provider Identifier
1669565891
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019426 Issued in NY
Legal business name
BAXTERS HAVERSTRAW, INC.
Doing business as
Baxter's Pharmacy & Home Health Care
Practice address
23 Samsondale Plaza
Route 9W
West Haverstraw, NY 10993
Phone
(845) 429-1303
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Stephen Vinett, RPHNPI 1952623050
Title
Supervisor
Phone
(845) 429-1303

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
Community/Retail Pharmacy 3336C0003X 019426 NY Primary

Addresses

Primary practice location

23 Samsondale Plaza
Route 9W
West Haverstraw, NY 10993

Mailing address

23 Samsondale Plaza
Route 9W
West Haverstraw, NY 10993
Phone (845) 429-1303

Other identifiers 2

IdentifierTypeStateIssuer
3389156OtherNABP
01013809MedicaidNY

Other names 1

  • Baxter's Pharmacy & Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

23 Samsondale Plz
#9W
West Haverstraw, NY 10993
Phone (845) 429-1303

23 Samsondale Plz
West Haverstraw, NY 10993
Phone (845) 429-1303

9 Samsondale Plz
West Haverstraw, NY 10993
Phone (845) 429-1303

Practitioners & affiliated clinicians

Practitioners 2

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1669565891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAMSONDALE PLAZA",
            "address_2": "ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "10993",
            "telephone_number": "845-429-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SAMSONDALE PLAZA",
            "address_2": "ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "10993",
            "telephone_number": "845-429-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTERS HAVERSTRAW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "VINETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "845-429-1303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3389156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01013809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter's Pharmacy & Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.