NPIMap

Organization Active NPI

Crystal City Apothecary LLC

  • Community/Retail Pharmacy
  • Corning, NY
National Provider Identifier
1689768095
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027370 Issued in NY
Legal business name
CRYSTAL CITY APOTHECARY LLC
Practice address
26 W Market St
Corning, NY 14830-2617
Phone
(607) 936-7023
Fax
(607) 936-7026
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Karen Hogue, RPHNPI 1386743367
Title
Owner
Phone
(607) 936-7023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 027370 NY Primary

Addresses

Primary practice location

26 W Market St
Corning, NY 14830-2617

Mailing address

26 W Market St
Corning, NY 14830-2617

Other identifiers 1

IdentifierTypeStateIssuer
3346207OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CRYSTAL CITY APOTHECARY LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crystal City Apothecary LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26 W Market St
Corning, NY 14830
Phone (607) 936-7023

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1689768095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W MARKET ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W MARKET ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302617",
            "telephone_number": "607-936-7023",
            "fax_number": "607-936-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CITY APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-936-7023",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3346207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRYSTAL CITY APOTHECARY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.