Mike-Paul Corp

Primary specialty

PharmacistTaxonomy code 183500000X

License

022574 Issued in NY

Legal business name

MIKE-PAUL CORP

Doing business as

Plaza Long Term Care Pharmacy

Practice address

2673 W Main St
Wappingers Falls, NY 12590-1941

Phone

(845) 297-3731

Fax

(845) 297-4126

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John P. Fratto, RPH

Title

Executive Director

Phone

(845) 297-3731

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Plaza Long Term Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982649745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 W MAIN ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901941",
            "telephone_number": "845-297-3731",
            "fax_number": "845-297-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 W MAIN ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901941",
            "telephone_number": "845-297-3731",
            "fax_number": "845-297-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE-PAUL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRATTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-297-3731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "022574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01577935",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3307243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeremy Christopher Minor, LPN
• Diana Minunni, OTR/L

• Pharmacist in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.