NPIMap

Organization Active NPI

State of New York Office of State Comptroller

Doing business as Collins Pharmacy

  • Pharmacy
  • Collins, NY
National Provider Identifier
1700762903
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
STATE OF NEW YORK OFFICE OF STATE COMPTROLLER
Doing business as
Collins Pharmacy
Practice address
490 Middle Road
Collins, NY 14034
Phone
(518) 445-6176
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Ryan Quinn Peneyra GuilaranNPI 1861965485
Title
Director of Pharmacy Services
Phone
(518) 445-6176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

490 Middle Road
Collins, NY 14034

Mailing address

1220 Washington Ave BLDG 4
Albany, NY 12226-1799

Other names 1

  • Collins Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilton Devel Ctr Rev M269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1220 Washington Ave
Bldg 4
Albany, NY 12226
Phone (518) 457-8126

Practitioners & affiliated clinicians

Practitioners 1

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": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1700762903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WASHINGTON AVE BLDG 4",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122261799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MIDDLE ROAD",
            "city": "COLLINS",
            "state": "NY",
            "postal_code": "14034",
            "telephone_number": "518-445-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK OFFICE OF STATE COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "GUILARAN",
        "authorized_official_first_name": "RYAN QUINN",
        "authorized_official_middle_name": "PENEYRA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "518-445-6176"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collins, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.