Active NPI
William G Innerst, RPH
- Pharmacist
- Cortland, NY
National Provider Identifier
1801116058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024892-1
- Practice address
- 13 Port Watson St
Cortland, NY 13045-2606 - Phone
- (607) 753-3230
- NPI assigned
- Jun 9, 2010
- Last updated
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024892-1 | NY | Primary |
| Pharmacist | 183500000X | RP041652R | PA |
Addresses
Primary practice location
13 Port Watson St
Cortland, NY 13045-2606
Mailing address
7012 N Glen Haven Rd
Homer, NY 13077-9520
Phone (607) 749-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024892-1 | NY | MD | Pharmacist |
| RP041652R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1801116058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 N GLEN HAVEN RD",
"city": "HOMER",
"state": "NY",
"postal_code": "130779520",
"telephone_number": "607-749-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 PORT WATSON ST",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130452606",
"telephone_number": "607-753-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNERST",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "024892-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041652R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.