Organization Active NPI

Family Drug Store

Doing business as The Family Drug Store

  • Community/Retail Pharmacy
  • Monticello, NY
National Provider Identifier
1740295344
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019340 Issued in NY
Legal business name
FAMILY DRUG STORE
Doing business as
The Family Drug Store
Practice address
524 Broadway
Monticello, NY 12701-1154
Phone
(845) 794-2345
Fax
(845) 794-0170
NPI assigned
Jul 30, 2006
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Alan Cohen, RPHNPI 1629110481
Title
Owner
Phone
(845) 794-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 019340 NY Primary

Addresses

Primary practice location

524 Broadway
Monticello, NY 12701-1154

Mailing address

524 Broadway
Monticello, NY 12701-1154
Phone (845) 794-2345

Other identifiers 2

IdentifierTypeStateIssuer
01006904MedicaidNY
2064507OtherPK

Other names 1

  • THE FAMILY DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

524 Broadway
Monticello, NY 12701
Phone (845) 794-2345

Practitioners & affiliated clinicians

Practitioners 2

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1740295344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011154",
            "telephone_number": "845-794-2345",
            "fax_number": "914-794-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011154",
            "telephone_number": "845-794-2345",
            "fax_number": "845-794-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-794-2345",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01006904",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FAMILY DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.