Middletown Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020046 Issued in NY

Legal business name

MIDDLETOWN APOTHECARY INC

Doing business as

MIDDLETOWN PHARMACY

Practice address

149 Wickham Ave
Middletown, NY 10940-3721

Phone

(845) 342-5566

Fax

(845) 342-4986

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Gary Stopa, RPHNPI 1467784058

Title

Ao

Phone

(845) 342-5566

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MIDDLETOWN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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.

• Gary Stopa, RPH

  • Pharmacist
  • Middletown, NY
  • NPI 1467784058
  NPD Authorized official
• George Joseph Lacek Jr., RPH

  • Pharmacist
  • Middletown, NY
  • NPI 1245562834
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1811009822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403721",
            "telephone_number": "845-342-5566",
            "fax_number": "845-342-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403721",
            "telephone_number": "845-342-5566",
            "fax_number": "845-342-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "STOPA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "845-342-5566",
        "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": "020046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01110925",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDDLETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid Hudson Acupuncture PC
• Mid Hudson Chiropractic and Physical Therapy PLLC
• Mid Hudson Hematology Oncology PC
• Mid Hudson Psychiatric Consultants PC
• Mid-Hudson Family Ophthalmology, PLLC
• Middletown Chemists Inc
• Middletown Chiropractic PC
• Middletown Community Health Center
• Middletown Community Health Center
• Middletown Community Health Center Inc

• Community/Retail Pharmacy in Middletown, NY
• Providers in Middletown, 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 Dec 9, 2016; 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.