Maple City Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

025565 Issued in NY

Legal business name

MAPLE CITY PHARMACY

Practice address

181 Seneca St
Hornell, NY 14843-1336

Phone

(607) 324-2212

Fax

(607) 324-2243

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Randolph J Weaver, RPHNPI 1336168160

Title

Owner

Phone

(607) 324-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randolph Jay Weaver, RPH

  • Pharmacist
  • Hornell, NY
  • NPI 1336168160
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689717050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SENECA ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431336",
            "telephone_number": "607-324-2212",
            "fax_number": "607-324-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SENECA ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431336",
            "telephone_number": "607-324-2212",
            "fax_number": "607-324-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-324-2212",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02363720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keara A Ludu, PT, DPT
• M Tariq Randhawa Medical Practice PLLC
• Ma Therapy
• Kathyron Ann Maine, MS, ANP
• Sachin Joseph Manthuruthil, M.D.
• Maple City Physical Therapy, PLLC
• Brian J Marlatt
• Amira R Martin-Saltsman, LCSW
• Amy Mayo
• Timothy S McDaniel, OD

• Pharmacy in Hornell, NY
• Providers in Hornell, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.