Individual provider Active NPI

Rachel Sergott

  • Pharmacist
  • Utica, NY
National Provider Identifier
1720707458
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069423 Issued in NY
Practice address
1917 Genesee St
Utica, NY 13501-5615
Phone
(315) 732-1499
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069423 NY Primary

Addresses

Primary practice location

1917 Genesee St
Utica, NY 13501-5615

Mailing address

6298 Walker Rd
Utica, NY 13502-7018

Other practice location 1

94 Chestnut St
Oneonta, NY 13820-2470
Phone (607) 432-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Golub Corporation PastSince May 12, 2024 Accepting new patients
Eckerd Corporation PastSince Aug 1, 2022 Accepting new patients
Golub Corporation PastSince May 12, 2024 Accepting new patients
Eckerd Corporation PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1720707458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 WALKER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135027018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015615",
            "telephone_number": "315-732-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138202470",
            "country_code": "US",
            "telephone_number": "607-432-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERGOTT",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.