NORTH STREET PHARMACY INC (NPI# 1073872396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073872396 |
| Entity Type | Organization |
| Organization Name | NORTH STREET PHARMACY INC |
| Other Organization Name | NORTH STREET PHARMACY, INC. |
| Practice Address |
200 North St St 103 Geneva NY 14456-1561 |
| Practice Telephone | 3157875388 |
| Practice Fax Number | 3157813295 |
| Mailing Telephone | 3157875388 |
| Mailing Fax Number | 3157813295 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | STEVEN GRAY (OWNER) |
| Authorized Official Telephone | 3157875388 |
| Authorized Official Credential | BACHELOR PHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
031345 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2135970 | 01 | |
| NY | 03510125 | 05 |
| Other Name | Type Code |
|---|---|
| North Street Pharmacy, Inc. | Doing Business As Name - Organization |
| Street Address |
200 NORTH ST ST 103 |
| City | GENEVA |
| State | NY |
| Zip Code | 14456-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309633 | William Porter Welbourne | Internal Medicine | 200 North St, Suite 102, Geneva, NY 14456-1561 | 2005-10-08 |
| 1528580008 | Rachel Field Miller | Nurse Practitioner | 200 North St, Geneva, NY 14456-1561 | 2017-07-17 |
| 1811340169 | Jennifer Bell | Nurse Practitioner | 200 North St, Suite 102, Geneva, NY 14456-1561 | 2016-07-21 |
| 1326446485 | Western New York Medical Practice, P.C. | General Practice | 200 North St, Geneva, NY 14456-1561 | 2014-12-05 |
| 1558777359 | Rahul Gupta | Pediatrics | 200 North St, Geneva, NY 14456-1561 | 2014-07-01 |
| 1346503273 | Lisa Marie Fitzgerald | Nurse Practitioner | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2012-06-15 |
| 1649554791 | Greg Fix | Physician Assistant | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2011-10-07 |
| 1215248869 | Victoria Lynn Mesko | Nurse Practitioner | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2010-06-29 |
| 1558517078 | Kristin Sarah Baltazar | Surgery | 200 North St, Suite 304, Geneva, NY 14456-1561 | 2008-08-15 |
| 1023132453 | Steven Andrew Schulz | Pediatrics | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752716 | Kristin Marie Stokes | Physician Assistant | 1150 Ny-5, Geneva, NY 14456 | 2017-07-17 |
| 1063961746 | Christina Brennan | Licensed Practical Nurse | 601b W. Washinton St, Geneva, NY 14456 | 2016-09-23 |
| 1184005704 | Finger Lakes Family Chiropractic Wellness P.C. | Chiropractor | 324 W. North Street, Suite 1, Geneva, NY 14456 | 2015-06-10 |
| 1245636422 | Jeanne Cordelia Mcclung | Social Worker | 671 Exchange Street, Geneva, NY 14456 | 2014-11-14 |
| 1245583004 | Heather E Cutler | Chiropractor | 34 Seneca Street, Second Floor Office, Geneva, NY 14456 | 2012-10-17 |
| 1457612392 | Shirley A Mumford | Home Health | 590 Pre-emption Rd., Geneva, NY 14456 | 2012-06-07 |
| 1245512573 | Karla Ann Hare | Registered Nurse | 590 Pre-emption Road, Geneva, NY 14456 | 2011-09-13 |
| 1427377787 | Carolyn Esther Swain | Registered Nurse | 590 Pre Emption Road, Sibley Nursing Service, Geneva, NY 14456 | 2010-05-26 |
| 1053637645 | Marilyn Greene | Counselor | 64 Seneca Street, Geneva, NY 14456 | 2010-04-08 |
| 1225272610 | Finger Lakes Migrant Health Care Project | Dentist | 601 B West Washington St, Geneva, NY 14456 | 2009-04-29 |
| Find all providers in zip 14456 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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| 1538215454 | Booth Enterprises Inc | Pharmacy | 1008 W. Maple Ave., Geneva, AL 36340-2420 | 2007-01-25 |
| 1982189783 | University Hospitals Geneva Medical Center | Pharmacy | 870 W Main St, Attn: Pharmacy, Geneva, OH 44041-1219 | 2018-09-27 |
| 1730216417 | Wiregrass Drugs Inc | Pharmacy | 702 W Maple Ave, Geneva, AL 36340-1632 | 2007-02-28 |
| 1558464388 | Ohio Cvs Stores LLC | Pharmacy | 170 E Main St, Geneva, OH 44041-1349 | 2006-09-07 |
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| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
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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.