Active NPI
Molloy'S Medical Arts Pharmacy, LLC
- Community/Retail Pharmacy
- Poughkeepsie, NY
National Provider Identifier
1760680623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028301
- Legal business name
- MOLLOY'S MEDICAL ARTS PHARMACY, LLC
- Practice address
- 19 Baker Avenue
Suite 207
Poughkeepsie, NY 12601 - Phone
- (845) 471-7455
- Fax
- (845) 473-6337
- NPI assigned
- Jul 3, 2007
- 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
- Mr. Thomas Mark Dingman, R.PH.
- Title
- Pharmacist-Owner
- Phone
- (845) 471-7455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 028301 | NY | Primary |
Addresses
Primary practice location
19 Baker Avenue
Suite 207
Poughkeepsie, NY 12601
Mailing address
19 Baker Avenue
Suite 207
Poughkeepsie, NY 12601
Phone (845) 471-7455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028301 | Other | NY | STATE LICENSE |
| 02938618 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
19 Baker Ave
Ste 207
Poughkeepsie, NY 12601
Phone (845) 471-7455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1760680623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BAKER AVENUE",
"address_2": "SUITE 207",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-471-7455",
"fax_number": "845-473-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BAKER AVENUE",
"address_2": "SUITE 207",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-471-7455",
"fax_number": "845-473-6337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLLOY'S MEDICAL ARTS PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "DINGMAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PHARMACIST-OWNER",
"authorized_official_telephone_number": "845-471-7455",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "028301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "028301",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02938618",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.