Organization Active NPI

Harbor Pharmacy of Utica LLC

  • Long Term Care Pharmacy
  • Syracuse, NY
National Provider Identifier
1669755666
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
031033 Issued in NY
Legal business name
HARBOR PHARMACY OF UTICA LLC
Doing business as
Harbor Pharmacy of Utica, LLC
Practice address
918 James St Ste B1
Syracuse, NY 13203-2500
Phone
(315) 342-6822
Fax
(315) 342-5951
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
James Branshaw
Title
Member
Phone
(315) 342-6822

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X 031033 NY Primary

Addresses

Primary practice location

918 James St Ste B1
Syracuse, NY 13203-2500

Mailing address

24 W Bridge St
Oswego, NY 13126-2051
Phone (315) 735-3300

Other identifiers 1

IdentifierTypeStateIssuer
2133109OtherPK

Other names 1

  • Harbor Pharmacy of Utica, LLC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

192 W 1st St
Oswego, NY 13126
Phone (315) 342-6822

918 James St
Ste B1
Syracuse, NY 13203
Phone (315) 342-6822

1307 Champlin Ave
Ste 7
Utica, NY 13502
Phone (315) 735-3300

Practitioners & affiliated clinicians

Practitioners 3

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": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1669755666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262051",
            "telephone_number": "315-735-3300",
            "fax_number": "315-342-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 JAMES ST STE B1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032500",
            "telephone_number": "315-342-6822",
            "fax_number": "315-342-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR PHARMACY OF UTICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BRANSHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-342-6822"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "031033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Pharmacy of Utica, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.