COLONIAL LTC PHARMACY, INC (NPI# 1275838492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275838492 |
| Entity Type | Organization |
| Organization Name | COLONIAL LTC PHARMACY, INC |
| Practice Address |
100 Main St Suite 1 Whitesboro NY 13492-1027 |
| Practice Telephone | 3158684073 |
| Practice Fax Number | 3157367396 |
| Mailing Telephone | 3158684073 |
| Mailing Fax Number | 3157367396 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Authorized Official Name | MR. ROBERT BRAYTON LANGDON III (PRESIDENT) |
| Authorized Official Telephone | 3158684073 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
030513 | NY | Suppliers |
| Street Address |
100 MAIN ST SUITE 1 |
| 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 |
| 1285888966 | Ryan D Bouchard | Pharmacist | 100 Main St, Whitesboro, NY 13492-1027 | 2008-11-07 |
| 1134237894 | Colonial Pharmacy of Whitesboro Inc | Durable Medical Equipment & Medical Supplies | 100 Main St, Whitesboro, NY 13492-1027 | 2006-08-25 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1326684069 | Procare Ltc of Syracuse, LLC | Pharmacy | 621 E Brighton Ave, Syracuse, NY 13210-4254 | 2019-11-18 |
| 1376108670 | Bh Drug Corp | Pharmacy | 8780a Sutphin Blvd, Jamaica, NY 11435-3342 | 2019-05-02 |
| 1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
| 1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
| 1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
| 1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBORO |
| Zip Code | 13492 |
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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.