Organization Active NPI

Molloy'S Medical Arts Pharmacy, LLC

  • Community/Retail Pharmacy
  • Poughkeepsie, NY
National Provider Identifier
1760680623
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028301 Issued in NY
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

Updated by the provider on Jan 29, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
028301OtherNYSTATE LICENSE
02938618MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.