Organization Active NPI

Nicholson Pharmacy

  • Pharmacist
  • Belmont, NY
National Provider Identifier
1881805992
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026164 Issued in NY
Legal business name
NICHOLSON PHARMACY
Practice address
36 Schuyler St
Belmont, NY 14813-1015
Phone
(585) 268-7287
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Mark A HunterNPI 1386793339
Title
Owner
Phone
(585) 268-7287

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 026164 NY Primary

Addresses

Primary practice location

36 Schuyler St
Belmont, NY 14813-1015

Mailing address

36 Schuyler St
Belmont, NY 14813-1015

Other identifiers 2

IdentifierTypeStateIssuer
0261654OtherNYLICENSE
02426135MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130426000494 NY DME Supplier - Pharmacy 9739325309 Practice locations: Belmont, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Nicholson Pharmacy36 Schuyler St, Belmont, NY 14813-1063(585) 268-7287 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 4, 2013

National Provider Directory

National Provider Directory

Locations

36 Schuyler St
Belmont, NY 14813
Phone (585) 268-7287

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1881805992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SCHUYLER ST",
            "city": "BELMONT",
            "state": "NY",
            "postal_code": "148131015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SCHUYLER ST",
            "city": "BELMONT",
            "state": "NY",
            "postal_code": "148131015",
            "telephone_number": "585-268-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-268-7287"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0261654",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02426135",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.