Park Pharmacy of Hammondsport

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031160 Issued in NY

Legal business name

PARK PHARMACY OF HAMMONDSPORT

Practice address

27 Shethar St
Hammondsport, NY 14840-9380

Phone

(607) 569-2800

Fax

(607) 569-3250

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Shelly DayNPI 1295902252

Title

Member

Phone

(607) 569-2800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Park Pharmacy of Hammondsport Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Shelly Beth Day, PHARMACIST

  • Pharmacist
  • Hammondsport, NY
  • NPI 1295902252
  NPD Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1831464684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SHETHAR ST",
            "address_2": "PO BOX 188",
            "city": "HAMMONDSPORT",
            "state": "NY",
            "postal_code": "148409380",
            "telephone_number": "607-569-2800",
            "fax_number": "607-569-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SHETHAR ST",
            "city": "HAMMONDSPORT",
            "state": "NY",
            "postal_code": "148409380",
            "telephone_number": "607-569-2800",
            "fax_number": "607-569-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHARMACY OF HAMMONDSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "607-569-2800"
    },
    "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": "031160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134887",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03547293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Pharmacy of Hammondsport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Margaret Morrison, OTRL
• Kevin S Murray, RPH
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• Adam John Nudd, D.C.
• Sam Pennise, D.M.D.
• Kelsey Spinks
• Cynthia Stocking, RN
• Jeanette Topper, M.A,CCC-SLP
• Bruce S Ushkow, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.