CHC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025067 Issued in NY

Legal business name

CHC PHARMACY LLC

Doing business as

Cortland Leader Pharmacy

Practice address

1259 Fisher Ave
Cortland, NY 13045-1012

Phone

(607) 756-4686

Fax

(607) 756-1717

NPI assigned

Nov 17, 2006

Last updated

Feb 19, 2008By 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

Gregory Fuller, RPH

Title

Pic

Phone

(607) 756-4686

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CORTLAND LEADER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1689748105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 FISHER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FISHER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451012",
            "telephone_number": "607-756-4686",
            "fax_number": "607-756-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "607-756-4686",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3323247",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513766",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3323247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORTLAND LEADER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cayuga Emergency Physicians, LLP
• CCNH Inc (Cortland Care Center)
• Ccrnc LLC
• Sarah Chambers
• Carolyn C Chang, LMSW
• Taseer Ahmad Cheema, M.D.
• Jacky Chen, M.D.
• Rini Simon Chennattu, PMHNP-BC
• Andrew S Chernow, DPM
• Ronald Edward Chrysler II

• Community/Retail Pharmacy in Cortland, NY
• Providers in Cortland, 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 Feb 19, 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.