NPIMap

Organization Active NPI

Angelo Friello Inc

Doing business as Palmer Pharmacy

  • Community/Retail Pharmacy
  • Johnstown, NY
National Provider Identifier
1841244704
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016393 Issued in NY
Legal business name
ANGELO FRIELLO INC
Doing business as
Palmer Pharmacy
Practice address
2 E Main St
Johnstown, NY 12095-2623
Phone
(518) 762-8319
Fax
(518) 762-5272
NPI assigned
May 22, 2006
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Thomas Michael FrielloNPI 1366518110
Title
Owner
Phone
(518) 762-8319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 016393 NY Primary

Addresses

Primary practice location

2 E Main St
Johnstown, NY 12095-2623

Mailing address

2 E Main St
Johnstown, NY 12095-2623
Phone (518) 762-8319

Other identifiers 3

IdentifierTypeStateIssuer
0181230001OtherNYDMERC SUPPLIER NUMBER
00530218MedicaidNY
3334240OtherNYNCPDP

Other names 1

  • Palmer Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100129000715 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3375686314 Practice locations: Johnstown, NY
O20100930062827 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3375686314 Practice locations: Johnstown, NY

National Provider Directory

National Provider Directory
Tax ID family
Palmer Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 E Main St
Johnstown, NY 12095
Phone (518) 762-8319

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1841244704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952623",
            "telephone_number": "518-762-8319",
            "fax_number": "518-762-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952623",
            "telephone_number": "518-762-8319",
            "fax_number": "518-762-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO FRIELLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "FRIELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-762-8319"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "016393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER NUMBER",
            "identifier": "0181230001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00530218",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3334240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.