Utter Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023722 Issued in NY

Legal business name

UTTER ENTERPRISES INC

Practice address

627 Pennsylvania Ave
Elmira, NY 14904-2239

Phone

(607) 732-8829

Fax

(607) 732-0550

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Susan Guinn

Title

Billing Spec

Phone

(314) 993-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1720190739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 PENNSYLVANIA AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 PENNSYLVANIA AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042239",
            "telephone_number": "607-732-8829",
            "fax_number": "607-732-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTTER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING SPEC",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3394892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3394892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Tyler, RN
• Pekka Juhani Ukkola, M.D.
• Kaycee Umeoji, MD
• Heather Nicole Underhill, D.O.
• Aakriti Uppal
• Dominique A Uva, FNP-C
• Chad Anthony Villarosa Uy
• Gary James Valvano, D.O.
• Sean Richard Van Aken, DPM
• Krishna Pesaladinne Vandana

• Community/Retail Pharmacy in Elmira, NY
• Providers in Elmira, 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 Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.