Clarkstown Pharmacy II LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031348 Issued in NY

Legal business name

CLARKSTOWN PHARMACY II LLC

Doing business as

Clarkstown Pharmacy II, LLC

Practice address

174 S Main St
New City, NY 10956-3380

Phone

(845) 634-6100

Fax

(845) 634-6101

NPI assigned

May 20, 2012

Organization subpart

No

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

Authorized official

Name

Phyllis Pincus

Title

President

Phone

(845) 634-6100

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Clarkstown Pharmacy II, 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.

• Chitra Gupte, RPH

  • Pharmacist
  • New City, NY
  • NPI 1356798151
  NPD (past)
• Claire Lee

  • Pharmacist
  • New City, NY
  • NPI 1790418630
  NPD (past)
• Daniel Matos

  • Pharmacist
  • New Windsor, NY
  • NPI 1609325927
  NPD (past)

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1821358292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563380",
            "telephone_number": "845-634-6100",
            "fax_number": "845-634-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563380",
            "telephone_number": "845-634-6100",
            "fax_number": "845-634-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTOWN PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "PINCUS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-6100"
    },
    "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": "031348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6712390001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkstown Pharmacy II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Beth Clark, L.AC
• Victoria Carol Clark, M.S. SPECIAL ED
• Clarkstown Central School District
• Clarkstown Medical Associates PC
• Clarkstown Medical Care P.C.
• Clarkstown Physical Therapy & Sports Associates, LLP
• Clarkstown Urology PC
• Diane Cleary, LCSW-R
• Clemente Orthodontics of New York PC
• Marissa Chevaughn Clemente, DDS

• Community/Retail Pharmacy in New City, NY
• Providers in New City, 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 Mar 22, 2017; 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.