Active NPI
James E. Mack
- Pharmacist
- Bath, NY
National Provider Identifier
1942480280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029929
- Practice address
- 400 W Morris St
Bath, NY 14810-1039 - Phone
- (607) 776-3320
- Fax
- (607) 776-1560
- NPI assigned
- Nov 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029929 | NY | Primary |
Addresses
Primary practice location
400 W Morris St
Bath, NY 14810-1039
Mailing address
400 W Morris St
Bath, NY 14810-1039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00446451 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029929 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bath, NY
- NPI 1215036579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1942480280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MORRIS ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MORRIS ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101039",
"telephone_number": "607-776-3320",
"fax_number": "607-776-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "JAMES",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-03",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00446451",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.