Organization Active NPI

RX City Pharmacy, Inc

  • Community/Retail Pharmacy
  • Auburn, NY
National Provider Identifier
1891873733
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025198 Issued in NY
Legal business name
RX CITY PHARMACY, INC
Practice address
161 Genesee St
Suite 105
Auburn, NY 13021-3451
Phone
(315) 282-0088
Fax
(315) 282-0091
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Richard Eric Pinckney, RPHNPI 1033432596
Title
President
Phone
(315) 282-0088

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
Community/Retail Pharmacy 3336C0003X 025198 NY Primary

Addresses

Primary practice location

161 Genesee St
Suite 105
Auburn, NY 13021-3451

Mailing address

161 Genesee St
Suite 105
Auburn, NY 13021-3451
Phone (315) 282-0088

Other identifiers 1

IdentifierTypeStateIssuer
02208859MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170118001034 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2961614409 Practice locations: Auburn, NY

National Provider Directory

National Provider Directory

Locations

161 Genesee St
Ste 105
Auburn, NY 13021
Phone (315) 282-0088

37 W Garden St
Ste 202
Auburn, NY 13021
Phone (315) 282-0088

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891873733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 GENESEE ST",
            "address_2": "SUITE 105",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213451",
            "telephone_number": "315-282-0088",
            "fax_number": "315-282-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GENESEE ST",
            "address_2": "SUITE 105",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213451",
            "telephone_number": "315-282-0088",
            "fax_number": "315-282-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX CITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PINCKNEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-282-0088",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.