NPIMap

Organization Active NPI

Thruway Pharmacy, Inc.

  • Pharmacy
  • Walden, NY
National Provider Identifier
1699748350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
012219 Issued in NY
Legal business name
THRUWAY PHARMACY, INC.
Practice address
78 Oak St
Walden, NY 12586-1054
Phone
(845) 778-1388
NPI assigned
Feb 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Les Concors
Title
Owner
Phone
(845) 778-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 012219 NY Primary

Addresses

Primary practice location

78 Oak St
Walden, NY 12586-1054

Mailing address

78 Oak St
Walden, NY 12586-1054
Phone (845) 778-1388

Other identifiers 1

IdentifierTypeStateIssuer
00498673MedicaidNY

National Provider Directory

National Provider Directory

Locations

78 Oak St
Walden, NY 12586
Phone (845) 778-1388

Practitioners & affiliated clinicians

Practitioners 8

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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699748350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OAK ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861054",
            "telephone_number": "845-778-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OAK ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861054",
            "telephone_number": "845-778-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRUWAY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONCORS",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-778-3535"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "012219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00498673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walden, NY

Sources for this page

  • 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.