Organization Active NPI

Peekskill Pharmacy Inc

Doing business as Baxters Pharmacy

  • Community/Retail Pharmacy
  • Peekskill, NY
National Provider Identifier
1689691578
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
017490 Issued in NY
Legal business name
PEEKSKILL PHARMACY INC
Doing business as
Baxters Pharmacy
Practice address
950 Main St
Peekskill, NY 10566-2904
Phone
(914) 737-3076
Fax
(914) 737-4229
NPI assigned
Jul 16, 2006
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Mr. Jesus VazquezNPI 1891841144
Title
President
Phone
(914) 737-3076

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 017490 NY
Community/Retail Pharmacy 3336C0003X 017490 NY Primary

Addresses

Primary practice location

950 Main St
Peekskill, NY 10566-2904

Mailing address

950 Main St
Peekskill, NY 10566-2904
Phone (914) 737-3076

Other names 1

  • Baxters Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930006136 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 4880803337 Practice locations: Peekskill, NY
O20220720002555 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4880803337 Practice locations: Peekskill, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Peekskill Pharmacy Inc950 Main St, Peekskill, NY 10566-2904(914) 737-3076 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Pneuma… Does not accept assignmentParticipating since Jun 18, 2004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1689691578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662904",
            "telephone_number": "914-737-3076",
            "fax_number": "914-737-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662904",
            "telephone_number": "914-737-3076",
            "fax_number": "914-737-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEKSKILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-737-3076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "017490",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baxters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.