Active NPI
Fishkill Pharmacy LLC
- Long Term Care Pharmacy
- Fishkill, NY
National Provider Identifier
1891333001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031825 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Fishkill Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Fishkill, NY
- NPI 1427308188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wappingers Falls, NY
- NPI 1396178489
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
- Fishkill Dental Associates
- Fishkill Dental Studio
- Fishkill Dialysis Center, LLC
- Fishkill Obstetrics and Gynecology,P.C.
- Fishkill Pharmacy LLC (The Medicine Shoppe Pharmacy)
- Fishkill Plains Pharmacy Inc (Medicap Pharmacy)
- Amanda Elizabeth Fitzgerald, OTD, OTR/L
- Mari R Flamm, LMSW
- Alice Fleming, RPH.
- Nicole Fluty
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.