Organization Active NPI

Amsterdam Memorial Enterprises Inc.

  • Community/Retail Pharmacy
  • Amsterdam, NY
National Provider Identifier
1952407314
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021784 Issued in NY
Legal business name
AMSTERDAM MEMORIAL ENTERPRISES INC.
Practice address
5010 State Highway 30
Amsterdam, NY 12010-7532
Phone
(518) 841-3551
Fax
(518) 841-3769
NPI assigned
Sep 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
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
Mr. Donald Massey
Title
Ceo
Phone
(518) 842-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021784 NY Primary

Addresses

Primary practice location

5010 State Highway 30
Amsterdam, NY 12010-7532

Mailing address

5010 State Highway 30
Amsterdam, NY 12010-7532
Phone (518) 841-3551

Other identifiers 2

IdentifierTypeStateIssuer
021784OtherNYSTATE PHARMACY REG #
0143257MedicaidNY

Other names 1

  • Amsterdam Memorial Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Amsterdam Memorial Enterprise2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952407314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-841-3551",
            "fax_number": "518-841-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-841-3551",
            "fax_number": "518-841-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSTERDAM MEMORIAL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-842-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY REG #",
            "identifier": "021784",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143257",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amsterdam Memorial Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amsterdam, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.