CLINTWOOD APOTHECARY LLC (NPI# 1033155585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033155585 |
| Entity Type | Organization |
| Organization Name | CLINTWOOD APOTHECARY LLC |
| Practice Address |
343 Clinton St Binghamton NY 13905-2017 |
| Mailing Address |
Po Box 345 Wvs Binghamton NY 13705-0345 |
| Practice Telephone | 6077296972 |
| Practice Fax Number | 6077290177 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD LANDRY (MEMBER / PRESIDENT) |
| Authorized Official Telephone | 6077277770 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 023176 | NY | Suppliers |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01724758 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3365411 | 01 | |
| PA | 01950481 | 05 |
| Street Address |
343 CLINTON ST |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518002419 | Michelle May Purdy | Pharmacist | 343 Clinton St, Binghamton, NY 13905-2017 | 2007-02-20 |
| 1972658326 | Julieanne Christine Marra | Pharmacist | 343 Clinton St, Binghamton, NY 13905-2017 | 2007-01-24 |
| 1730257916 | Edward Todd Landry | Pharmacist | 343 Clinton St, Binghamton, NY 13905-2017 | 2006-12-04 |
| 1407867120 | Clintwood Apothecary, LLC. | Pharmacist | 343 Clinton St, Suite B, Binghamton, NY 13905-2017 | 2006-08-10 |
| 1790793990 | Clintwood Pharmacy LLC | Pharmacy | 343 Clinton St, Binghamton, NY 13905-2017 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639182058 | Golub Corporation | Pharmacy | 10 Glenwood Ave, Binghamton, NY 13905-2582 | 2006-08-15 |
| 1184115826 | United Health Services Hospitals, Inc | Pharmacy | 33 Mitchell Avenue, Binghamton, NY 13903 | 2018-05-29 |
| 1801097233 | Broome Oncology LLC | Pharmacy | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2007-05-31 |
| 1083722151 | Cl Cressler Inc | Pharmacy | 1179 Vestal Ave, Ste. 1, Binghamton, NY 13903-1606 | 2006-08-28 |
| 1801827951 | K Mart Corp | Pharmacy | 33 W State St, Binghamton, NY 13901-2300 | 2006-07-06 |
| 1942242243 | Our Lady of Lourdes Memorial Hospital, Inc. | Pharmacy | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.