Active NPI
Tops PT LLC
- Community/Retail Pharmacy
- Baldwinsville, NY
National Provider Identifier
1730405739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 030096
- Legal business name
- TOPS PT LLC
- Practice address
- 2265 Crego at Downer Street
Baldwinsville, NY 13027 - Phone
- (315) 635-6013
- Fax
- (855) 331-9001
- NPI assigned
- Apr 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Hamed
- Title
- Director of Pharmacy
- Phone
- (716) 635-5274
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 030096 | NY | Primary |
Addresses
Primary practice location
2265 Crego at Downer Street
Baldwinsville, NY 13027
Mailing address
PO Box 1027
Buffalo, NY 14240-1027
Phone (716) 635-5276
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124868 | Other | PK | |
| 02207050 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024878 | NY | DME Supplier - Pharmacy | 2264623669 | Practice locations: Baldwinsville, NY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
2265 Downer Street Rd
Baldwinsville, NY 13027
Phone (315) 635-6013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517184000000",
"number": "1730405739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1027",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142401027",
"telephone_number": "716-635-5276",
"fax_number": "716-635-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 CREGO AT DOWNER STREET",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "13027",
"telephone_number": "315-635-6013",
"fax_number": "855-331-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOPS PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-15",
"last_updated": "2018-01-29",
"status": "A",
"authorized_official_last_name": "HAMED",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "716-635-5274"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "030096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124868",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02207050",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.