WATER STREET PHARMACY, INC. (NPI# 1255758330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255758330 |
| Entity Type | Organization |
| Organization Name | WATER STREET PHARMACY, INC. |
| Other Organization Name | VILLAGE DRUG |
| Practice Address |
350 Elm St Penn Yan NY 14527-1445 |
| Practice Telephone | 3155360100 |
| Practice Fax Number | 3155360109 |
| Mailing Telephone | 3155360100 |
| Mailing Fax Number | 3155360109 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2016-08-05 |
| Authorized Official Name | TRACEY KNAPP (PRESIDENT) |
| Authorized Official Telephone | 3156510218 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | WATER STREET PHARMACY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
032684 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04239112 | 05 |
| Other Name | Type Code |
|---|---|
| Village Drug | Doing Business As Name - Organization |
| Street Address |
350 ELM ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134317084 | Cannariato & Driesch Family Medicine, PC | Family Medicine | 350 Elm St, Penn Yan, NY 14527-1445 | 2007-10-04 |
| 1467784868 | Scott C Tucker | Pharmacist | 350 Elm St, Penn Yan, NY 14527-1445 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| 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 |
|---|---|---|---|---|
| 1134222979 | Cvs Albany, L.L.C. | Pharmacy | 226 Lake Street Plz, Penn Yan, NY 14527-1811 | 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 |
| 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.