Livingston Manor Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031823 Issued in NY

Legal business name

LIVINGSTON MANOR PHARMACY LLC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

47 Stewart Ave
Roscoe, NY 12776-5105

Phone

(607) 498-4111

Fax

(607) 498-4113

NPI assigned

Mar 11, 2013

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheetal Patel

Title

Member

Phone

(845) 297-0549

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

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.

• Julie Burns, RPH

  • Pharmacist
  • Roscoe, NY
  • NPI 1619151230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1669713939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "ROSCOE",
            "state": "NY",
            "postal_code": "127760146",
            "telephone_number": "607-498-4111",
            "fax_number": "607-498-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 STEWART AVE",
            "city": "ROSCOE",
            "state": "NY",
            "postal_code": "127765105",
            "telephone_number": "607-498-4111",
            "fax_number": "607-498-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON MANOR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHEETAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-297-0549"
    },
    "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": "031823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03929137",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Burns, RPH
• Kelly Dahlman Grossman, LPN
• Dawn Anne Dorcas, LCSW
• Sophia Hanson-Charles
• Michelle Lavery, PTA
• Alison Robin Mastandrea, RN
• R & R Volunteer Ambulance Corp
• Roscoe Central School
• Roscoe Community Nursing Home Co., Inc (Roscoe Regional Rehabilitation and Residential Health Care Facility)
• Roscoe Regional Healthcare LLC (roscoe regional rehabilitation and nursing center)

• Community/Retail Pharmacy in Roscoe, NY
• Providers in Roscoe, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.