NPIMap

Organization Active NPI

Margaretville Memorial Hospital

  • Long Term Care Pharmacy
  • Margaretville, NY
National Provider Identifier
1932268307
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
016327 Issued in NY
Legal business name
MARGARETVILLE MEMORIAL HOSPITAL
Practice address
42084 State Hwy RT 28
Margaretville, NY 12455
Phone
(845) 586-2631
Fax
(845) 586-2539
NPI assigned
Dec 8, 2006
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Randall Moore
Title
Pharmacy Director
Phone
(845) 586-2631

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 016327 NY Primary

Addresses

Primary practice location

42084 State Hwy RT 28
Margaretville, NY 12455

Mailing address

42084 State Hwy RT 28
Margaretville, NY 12455
Phone (845) 586-2631

Other identifiers 3

IdentifierTypeStateIssuer
330092MedicaidNY
2060477OtherPK
00279387MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Susan M Fiore4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1932268307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42084 STATE HWY RT 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "12455",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42084 STATE HWY RT 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "12455",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARETVILLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "845-586-2631"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "016327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margaretville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.