Phamco Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025440 Issued in NY

Legal business name

PHAMCO INC.

Practice address

100 Front St
Greenport, NY 11944-1616

Phone

(631) 477-1111

Fax

(631) 477-1218

NPI assigned

Apr 16, 2007

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanapong Pantasri

Title

Supervising Pharmacist

Phone

(631) 477-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khalid Mahmood Chaudhary, RPH

  • Pharmacist
  • Greenport, NY
  • NPI 1538329800
  NPD (past)
• Thomas John Schroder Sr., RPH.

  • Pharmacist
  • Greenport, NY
  • NPI 1013237395
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1770708463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRONT ST",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441616",
            "telephone_number": "631-477-1111",
            "fax_number": "631-477-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRONT ST",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441616",
            "telephone_number": "631-477-1111",
            "fax_number": "631-477-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAMCO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "PANTASRI",
        "authorized_official_first_name": "TANAPONG",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-477-1111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3332169",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "025440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Park, OTR/L
• Riddhi Patel
• Peconic Landing at Southold Inc
• Peconic Pathology Associates, P.C.
• Alexa-Rae Pesce, MD
• Pietro Piacquadio, R.PH.
• Susan E Rambo, LICSW
• Zubaidul Razzak, MD
• Christopher Jacob Reiss, PHD
• William Price Rennie, MD

• Community/Retail Pharmacy in Greenport, NY
• Providers in Greenport, 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 May 13, 2022; 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.