Organization Active NPI

Fishkill Pharmacy LLC

  • Long Term Care Pharmacy
  • Fishkill, NY
National Provider Identifier
1891333001
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FISHKILL PHARMACY LLC
Practice address
1004 Main St BLDG 554
Fishkill, NY 12524-3509
Phone
(845) 897-0636
Fax
(845) 897-0638
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Jaimin Patel
Title
Member
Phone
(706) 331-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1004 Main St BLDG 554
Fishkill, NY 12524-3509

Mailing address

1004 Main St BLDG 554
Fishkill, NY 12524-3509
Phone (845) 897-0636

Other identifiers 1

IdentifierTypeStateIssuer
031825MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Fishkill Pharmacy LLC2 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.

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": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1891333001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MAIN ST BLDG 554",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243509",
            "telephone_number": "845-897-0636",
            "fax_number": "845-897-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MAIN ST BLDG 554",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243509",
            "telephone_number": "845-897-0636",
            "fax_number": "845-897-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHKILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAIMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "706-331-5959"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.