NPIMap

Organization Active NPI

Nys Doccs Mohawk Correctional Facility Pharmacy

  • Pharmacist
  • Rome, NY
National Provider Identifier
1770135246
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
NYS DOCCS MOHAWK CORRECTIONAL FACILITY PHARMACY
Practice address
6514 RT. 26
Building 55
Rome, NY 13442
Phone
(315) 339-5232
Fax
(315) 339-6894
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Lisa Marie Weller, RPH
Title
Supervising Pharmacist
Phone
(315) 339-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NU Primary

Addresses

Primary practice location

6514 RT. 26
Building 55
Rome, NY 13442

Mailing address

6514 RT. 26
Building 55
Rome, NY 13442
Phone (315) 339-5232

Other names 1

  • NYS DOCCS Oneida Regional Pharmacy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
RPC-Middletown Mental Health Clinic269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1770135246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 RT. 26",
            "address_2": "BUILDING 55",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13442",
            "telephone_number": "315-339-5232",
            "fax_number": "315-339-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 RT. 26",
            "address_2": "BUILDING 55",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13442",
            "telephone_number": "315-339-5232",
            "fax_number": "315-339-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS DOCCS MOHAWK CORRECTIONAL FACILITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "315-339-5232",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYS DOCCS Oneida Regional Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.