Fishkill Plains Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026853 Issued in NY

Legal business name

FISHKILL PLAINS PHARMACY INC

Practice address

1004 Main St
BLDG 554
Fishkill, NY 12524-3509

Phone

(845) 897-0636

Fax

(845) 897-0638

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Balasiano, RPH.

Title

Pres

Phone

(845) 897-0636

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICAP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1770677189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MAIN ST",
            "address_2": "BLDG 554",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243509",
            "telephone_number": "845-897-0636",
            "fax_number": "845-897-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MAIN ST",
            "address_2": "BLDG 554",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243509",
            "telephone_number": "845-897-0636",
            "fax_number": "845-897-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHKILL PLAINS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "BALASIANO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "845-897-0636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3339050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02619950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Elizabeth Fitzgerald, OTD, OTR/L
• Mari R Flamm, LMSW
• Alice Fleming, RPH.
• Nicole Fluty
• Jose R Fontanez, M.D.

• Community/Retail Pharmacy in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.