Organization Active NPI

Johnik Pharmacy Inc

  • Pharmacist
  • Goshen, NY
National Provider Identifier
1922164284
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
017877 Issued in NY
Legal business name
JOHNIK PHARMACY INC
Practice address
62 W Main St
Goshen, NY 10924-1929
Phone
(845) 294-7474
Fax
(845) 294-2590
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
John Nemeth, RPHNPI 1790007805
Title
Owner
Phone
(845) 294-7474

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 017877 NY Primary

Addresses

Primary practice location

62 W Main St
Goshen, NY 10924-1929

Mailing address

62 W Main St
Goshen, NY 10924-1929
Phone (845) 294-7474

Other identifiers 1

IdentifierTypeStateIssuer
00785479MedicaidNY

Other names 1

  • Baxter's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

62 W Main St
Goshen, NY 10924
Phone (845) 294-7474

Practitioners & affiliated clinicians

Practitioners 4

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1922164284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241929",
            "telephone_number": "845-294-7474",
            "fax_number": "845-294-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241929",
            "telephone_number": "845-294-7474",
            "fax_number": "845-294-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNIK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "NEMETH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-294-7474",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "017877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00785479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.