Clintwood Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023176 Issued in NY

Legal business name

CLINTWOOD PHARMACY LLC

Practice address

343 Clinton St
Binghamton, NY 13905-2017

Phone

(607) 729-2234

Fax

(607) 729-0939

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Todd Landry

Title

Member and Pharmacist

Phone

(607) 729-2234

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• CLINTWOOD PHARMACY LLC Doing business as

Practitioners 3

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

• Edward Todd Landry, R.PH.

  • Pharmacist
  • Binghamton, NY
  • NPI 1730257916
  NPD (past)
• Julieanne Christine Marra, RPH

  • Pharmacist
  • Binghamton, NY
  • NPI 1972658326
  NPD (past)
• Michelle May Purdy, RPH

  • Pharmacist
  • Binghamton, NY
  • NPI 1518002419
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1790793990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138510155",
            "telephone_number": "607-729-2234",
            "fax_number": "607-770-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 CLINTON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052017",
            "telephone_number": "607-729-2234",
            "fax_number": "607-729-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MEMBER AND PHARMACIST",
        "authorized_official_telephone_number": "607-729-2234"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023176",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724758",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3365411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINTWOOD PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Cleveland
• Kati Jo Cline, CASACII, BA
• Clinical Campus Medical Group
• Clintwood Apothecary LLC
• Clintwood Apothecary, LLC.
• Colleen Clune, RN
• Lori Lynn Cobb, MHC-LP
• Colleen M Coddington, PMHNP
• Leonne Codjia, RN, BSN
• Craig Stanley Colas, DDS

• Community/Retail Pharmacy in Binghamton, NY
• Providers in Binghamton, 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 Oct 19, 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.