NPIMap

Organization Active NPI

Apple Community Pharmacy

  • Community/Retail Pharmacy
  • Malta, NY
National Provider Identifier
1992833255
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020713 Issued in NY
Legal business name
APPLE COMMUNITY PHARMACY
Practice address
3 Hemphill PL
Suite 116
Malta, NY 12020-4419
Phone
(518) 899-6063
Fax
(518) 899-6064
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Robert Russell, RPHNPI 1477875573
Title
Pharmacist and President
Phone
(518) 899-6063

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020713 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3 Hemphill PL
Suite 116
Malta, NY 12020-4419

Mailing address

3 Hemphill PL
Ste 116
Malta, NY 12020-4419
Phone (518) 899-6063

Other identifiers 2

IdentifierTypeStateIssuer
01198521MedicaidNY
3396909OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • APPLE COMMUNITY PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

3 Hemphill Pl
Malta, NY 12020
Phone (518) 899-3338

3 Hemphill Pl
Ste 116
Malta, NY 12020
Phone (518) 899-6063

Practitioners & affiliated clinicians

Practitioners 6

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1992833255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEMPHILL PL",
            "address_2": "STE 116",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204419",
            "telephone_number": "518-899-6063",
            "fax_number": "518-899-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HEMPHILL PL",
            "address_2": "SUITE 116",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204419",
            "telephone_number": "518-899-6063",
            "fax_number": "518-899-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST AND PRESIDENT",
        "authorized_official_telephone_number": "518-899-6063",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020713",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01198521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3396909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE COMMUNITY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.