Steven Decknick

Primary specialty

PharmacistTaxonomy code 183500000X

License

059602 Issued in NY

Practice address

St Mary's Community Pharmacy
4950 St Hwy 30
Amsterdam, NY 12010

Phone

(518) 839-0601

Fax

(833) 519-2057

NPI assigned

Dec 18, 2014

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1700284072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 SARATOGA RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123025730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST MARY'S COMMUNITY PHARMACY",
            "address_2": "4950 ST HWY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-839-0601",
            "fax_number": "833-519-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKNICK",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Perrone Darby-King, OTR
• Holly Dargush, LCSW
• C R Dawson, MD
• Maria Arsyl Dulay De Jesus, M.D.
• Emilie Marie Deck, FNP-C
• Chenney Dejesus, M.A., CCC-SLP
• Gianna Marie Derosa, OTR/L
• Alexa Deruscio
• Jessica S Dever, PA
• Peter F Diamond, D.O.

• Pharmacist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.