Windham Pharmacy of Greene County Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

018879 Issued in NY

Legal business name

WINDHAM PHARMACY OF GREENE COUNTY INC

Practice address

6 State Route 296
Suite 10
Windham, NY 12496-0068

Phone

(518) 734-3033

Fax

(518) 734-6575

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William T Quackenbush III, RPH

Title

President

Phone

(518) 966-8714

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windham Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Thomas Quackenbush III, RPH

  • Pharmacist
  • Windham, NY
  • NPI 1194040717
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1780604173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "address_2": "3 RTE 296 & SOUTH STREET",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "12468",
            "telephone_number": "518-734-3033",
            "fax_number": "518-734-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATE ROUTE 296",
            "address_2": "SUITE 10",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "124960068",
            "telephone_number": "518-734-3033",
            "fax_number": "518-734-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM PHARMACY OF GREENE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH III",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-966-8714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00923735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windham Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teri Martin Family Nurse Practitioner PC
• Town of Windham
• Ilse Berenice Turkmani
• Windham Ashland Jewett CSD
• Windham Pharma Inc

• All providers in Windham, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.