PALMYRA PHARMACY LLC (NPI# 1144668559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144668559 |
| Entity Type | Organization |
| Organization Name | PALMYRA PHARMACY LLC |
| Other Organization Name | PALMYRA PHARMACY LLC |
| Practice Address |
214 E Main St Palmyra NY 14522-1128 |
| Mailing Address |
1193 Severn Ridge Rd Webster NY 14580-9144 |
| Practice Telephone | 3155020038 |
| Practice Fax Number | 3155020124 |
| Mailing Telephone | 5852595240 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | DAVID STACHNIK (PRESIDENT) |
| Authorized Official Telephone | 5852595240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
031923 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140513 | 01 |
| Other Name | Type Code |
|---|---|
| Palmyra Pharmacy LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497209159 | Palmyra Pharmacy LLC | Pharmacy | 13080 Cortez Blvd, Brooksville, FL 34613-4854 | 2016-08-11 |
| 1689922569 | Palmyra Pharmacy LLC | Pharmacy | 1 E Broad St, Palmyra, NJ 08065-1604 | 2012-08-27 |
| Street Address |
214 E MAIN ST |
| City | PALMYRA |
| State | NY |
| Zip Code | 14522-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750820114 | Amanda Wendt | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2017-02-18 |
| 1275673030 | Tonya Jean Decann | Chiropractor | 214 E Main St, Palmyra, NY 14522-1128 | 2007-02-08 |
| 1902960339 | Lekisha Evette Griffin | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909863 | Betsy Wray Hernandez | Registered Nurse | 3046 Sherwood Rd., Palmyra, NY 14522 | 2009-10-06 |
| 1639202815 | Stacey Tinker Welch | Social Worker | 200 Church St, Suite 110, Palmyra, NY 14522 | 2007-03-14 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| 1619220662 | Jessica Dekdebrun | Licensed Practical Nurse | 201 Park Dr, Palmyra, NY 14522-1113 | 2012-10-16 |
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| 1265446520 | Malcolm M Riggs | General Practice | 201 E Main St, Palmyra, NY 14522-1127 | 2006-07-29 |
| 1396704060 | Karen May Nickell | Family Medicine | 221 E Main St, Palmyra, NY 14522-1127 | 2006-03-21 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| 1841761103 | Finger Lakes Dental Care of Palmyra, Pllc | Clinic/Center | 523 E Main St, Palmyra, NY 14522-1144 | 2018-12-16 |
| 1437268828 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 609 East Main Street, Palmyra, NY 14522-1148 | 2006-08-30 |
| Find all providers in zip 14522 | ||||
| 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 |
|---|---|---|---|---|
| 1487055984 | Redner's Markets Inc. | Pharmacy | 110 Northside Commons, Palmyra, PA 17078-8663 | 2014-09-16 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1831278514 | Lake Centre Pharmacy | Pharmacy | 4 Centre Ct, Palmyra, VA 22963-2329 | 2006-11-03 |
| 1447556915 | Weis Markets Inc | Pharmacy | 901 E Main St, Suite 25, Palmyra, PA 17078-1923 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
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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.