PENN TRAFFIC COMPANY THE (NPI# 1154342483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154342483 |
| Entity Type | Organization |
| Organization Name | PENN TRAFFIC COMPANY THE |
| Other Organization Name | P AND C FOOD AND PHARMACY 3188 |
| Practice Address |
152 Harte Haven Plz Massena NY 13662-2608 |
| Practice Telephone | 3157690065 |
| Practice Fax Number | 3157690094 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES ERBA (PHARMACY SYSTEMS MANAGER) |
| Authorized Official Telephone | 3154612595 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 022287 | NY | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01525593 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3354507 | 01 |
| Other Name | Type Code |
|---|---|
| P AND C FOOD AND PHARMACY 3188 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063433399 | Penn Traffic Company The | Pharmacy | 7785 Frontage Rd, Cicero, NY 13039-8637 | 2006-07-21 |
| 1518988849 | Penn Traffic Company The | Pharmacy | 3577 W Genesee St, Syracuse, NY 13219-2002 | 2006-07-21 |
| 1790706026 | Penn Traffic Company The | Pharmacy | 2078 State Route 481, Fulton, NY 13069 | 2006-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PENN TRAFFIC COMPANY THE | Po Box 4737, Syracuse, NY 13221 |
| Street Address |
152 HARTE HAVEN PLZ |
| City | MASSENA |
| State | NY |
| Zip Code | 13662-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796380 | Emily Lashomb | Physical Medicine & Rehabilitation | Mmh Outpatient Center/pt, 271 Andrews St, Suite 269, Massena, NY 13662 | 2019-12-10 |
| 1689059727 | Cassandra Lynn Lashomb | Physician Assistant | St Lawrence University, 23 Romoda Drive, Canton, NY 13662 | 2015-07-29 |
| 1497163885 | Ryan Normal Degon | Specialist/Technologist | Park Avenue East, Work-fit At Alcoa Massena Operations, Massena, NY 13662 | 2014-07-29 |
| 1821419839 | Beverly Elaine Eastwood | Registered Nurse | 25 Owl Avenue, Madison Elementary School, Massena, NY 13662 | 2013-12-17 |
| 1083969117 | David Disalvo | Physical Therapist | Mh Outpatient Ctr/physical Therapy, 271 Andrews St, Suite 269, Massena, NY 13662 | 2012-07-15 |
| 1710205935 | Robin G Taylor | Counselor | 221 Harrowgate Commons, Massena, NY 13662 | 2010-05-12 |
| 1821291295 | Amanda Leigh Allen | Pharmacist | 303 Main St., Massena, NY 13662 | 2007-06-06 |
| 1255450664 | Cheryll A Terrance | Counselor | 27 Brighton St, Massena, NY 13662 | 2007-03-28 |
| 1033238704 | Richard C Summermatter | Obstetrics & Gynecology | North Country Women's Health, 15 Hospital Dr, Massena, NY 13662 | 2007-03-27 |
| 1356480610 | Joan Sharon Delarm | Social Worker | 74 Andrews St, Massena, NY 13662 | 2007-02-05 |
| Find all providers in zip 13662 | ||||
| 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 |
|---|---|---|---|---|
| 1457468639 | Kph Healthcare Services, Inc. | Pharmacy | 300 Main St, Massena, NY 13662-1901 | 2006-08-24 |
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| 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 |
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| 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 | ||||
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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.