COLONIAL PHARMACY OF WHITESBORO INC (NPI# 1134237894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134237894 |
| Entity Type | Organization |
| Organization Name | COLONIAL PHARMACY OF WHITESBORO INC |
| Practice Address |
100 Main St Whitesboro NY 13492-1027 |
| Practice Telephone | 3157362122 |
| Practice Fax Number | 3157367376 |
| Mailing Telephone | 3157362122 |
| Mailing Fax Number | 3157367376 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MR. ROBERT BRAYTON LANGDON III (PRESIDENT SUPERVISING PHARMACIST) |
| Authorized Official Telephone | 3157362122 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 025256 | NY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
025256 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02228999 | 05 | |
| DEA | BC7689372 | 01 | |
| NCPDP | 3324681 | 01 |
| Street Address |
100 MAIN ST |
| City | WHITESBORO |
| State | NY |
| Zip Code | 13492-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922492933 | Langdons Apothecary Inc | Pharmacy | 100 Main St, Suite 3, Whitesboro, NY 13492-1027 | 2015-03-27 |
| 1245585967 | Krysta Carney | Pharmacist | 100 Main St, Whitesboro, NY 13492-1027 | 2012-07-18 |
| 1821357658 | Elaine Marie Lyszczarz | Pharmacist | 100 Main St, Whitesboro, NY 13492-1027 | 2012-05-14 |
| 1275838492 | Colonial Ltc Pharmacy, Inc | Pharmacy | 100 Main St, Suite 1, Whitesboro, NY 13492-1027 | 2011-01-19 |
| 1285888966 | Ryan D Bouchard | Pharmacist | 100 Main St, Whitesboro, NY 13492-1027 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198032 | Danielle Manolescu | Occupational Therapist | Hart's Hill Elementary School 8615 Clark Mills Road, Whitesboro, NY 13492 | 2020-03-05 |
| 1679107783 | Deanna Licari | Social Worker | 10 Main St Whitesboro Ny, Whitesboro, NY 13492 | 2020-02-27 |
| 1023588613 | Sonya L Piersma | Social Worker | 17 Harts Hill Parkway, Whitesboro, NY 13492 | 2018-11-27 |
| 1144577701 | Megan Nicholls | Specialist | 40 Bermuda Road, Whitesboro, NY 13492 | 2012-08-13 |
| 1659627438 | Allison Marie Koch | Licensed Practical Nurse | 11 Pinecrest Road, Whitesboro, NY 13492 | 2012-07-30 |
| 1417247719 | Laura Michele Sawyer | Music Therapist | 7 Old Valley Rd, Whitesboro, NY 13492 | 2011-04-08 |
| 1255503264 | Melvin Joseph Martin | Pharmacist | 141 Oriskany Blvd, Whitesboro, NY 13492 | 2008-03-31 |
| 1124189998 | John F Johnson IIi | Dentist | 277 Oriskany Blvd, Whitesboro, NY 13492 | 2006-12-13 |
| 1104924570 | William D Ryan | Family Medicine | 37 Main St., Whitesboro, NY 13492 | 2006-09-20 |
| 1487861605 | John E Konyak | Dentist | 152 Main St, Whitesboro, NY 13492 | 2007-05-17 |
| Find all providers in zip 13492 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912949330 | Kph Healthcare Services, Inc. | Pharmacy | 40 Oriskany Blvd, Whitesboro, NY 13492-1318 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBORO |
| Zip Code | 13492 |
Please comment or provide details below to improve the information on COLONIAL PHARMACY OF WHITESBORO INC.
| 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.