NPIMap

Organization Active NPI

United Health Services Hospitals Inc

  • Community/Retail Pharmacy
  • Endicott, NY
National Provider Identifier
1750480604
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029345 Issued in NY
Legal business name
UNITED HEALTH SERVICES HOSPITALS INC
Practice address
1302 E Main St
Endicott, NY 13760-5430
Phone
(607) 754-2474
Fax
(607) 754-3384
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. William G. Waldron, RPH, MHA
Title
Manager of Pharmacy Services
Phone
(607) 763-1869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029345 NY Primary

Addresses

Primary practice location

1302 E Main St
Endicott, NY 13760-5430

Mailing address

1302 E Main St
Endicott, NY 13760-5430
Phone (607) 754-2474

Other identifiers 2

IdentifierTypeStateIssuer
029345OtherNYNYS LICENSE #
03104390MedicaidNY

Other names 1

  • United MedManagement Inc Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180104001853 NY DME Supplier - Pharmacy 5193610533 Practice locations: Endicott, NY
O20210219002204 NY Part B Supplier - Pharmacy 5193610533 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vestal, NY; Johnson City, NY; Binghamton, NY; Endicott, NY

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
United Health Services Hospitals, I1302 E Main St, Endicott, NY 13760-5430(607) 754-2474 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 471

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

View all 471

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750480604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605430",
            "telephone_number": "607-754-2474",
            "fax_number": "607-754-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605430",
            "telephone_number": "607-754-2474",
            "fax_number": "607-754-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH SERVICES HOSPITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "607-763-1869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MHA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #",
            "identifier": "029345",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03104390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United MedManagement Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "United MedManagement Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.