Organization Active NPI

Saugerties Pharmacy LLC

  • Pharmacy
  • Saugerties, NY
National Provider Identifier
1740647189
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
034385 Issued in NY
Legal business name
SAUGERTIES PHARMACY LLC
Doing business as
SAUGERTIES PHARMACY
Practice address
18 Market St
Saugerties, NY 12477-1339
Phone
(845) 246-5649
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Peter NekosNPI 1831413954
Title
Owner/Pharmacist
Phone
(845) 246-5649

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 034385 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

18 Market St
Saugerties, NY 12477-1339

Mailing address

18 Market St
Saugerties, NY 12477-1339
Phone (845) 246-5649

Other practice location 1

250 Main St
Saugerties, NY 12477-1320
Phone (845) 246-5649

Other identifiers 1

IdentifierTypeStateIssuer
2159692OtherPK

Other names 1

  • SAUGERTIES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160719000125 NY Part B Supplier - Pharmacy 6901199637 Practice locations: Saugerties, NY
O20251007004051 NY DME Supplier - Pharmacy 6901199637 Practice locations: Saugerties, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Saugerties Pharmacy18 Market St, Saugerties, NY 12477-1339(845) 246-5649 Nebulizer Drugs Accepts assignmentParticipating since Jun 3, 2016

National Provider Directory

National Provider Directory

Locations

250 Main St
Saugerties, NY 12477
Phone (845) 246-5649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1740647189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARKET ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771339",
            "telephone_number": "845-246-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARKET ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771339",
            "telephone_number": "845-246-5649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Main St",
            "address_purpose": "LOCATION",
            "city": "Saugerties",
            "state": "NY",
            "postal_code": "124771320",
            "country_code": "US",
            "telephone_number": "845-246-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAUGERTIES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "NEKOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "845-246-5649"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034385",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAUGERTIES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAUGERTIES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saugerties, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.