RUSSELLS PHARMACY UPSTATE HOME RESPIRATORY EQUIPMENT INC (NPI# 1285668483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285668483 |
| Entity Type | Organization |
| Organization Name | RUSSELLS PHARMACY UPSTATE HOME RESPIRATORY EQUIPMENT INC |
| Practice Address |
106 Maple St Corinth NY 12822-1026 |
| Practice Telephone | 5186542485 |
| Practice Fax Number | 5186547555 |
| Mailing Telephone | 5186542485 |
| Mailing Fax Number | 5186547555 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CARL ALEXANDER LAWRENCE (PRESIDENT) |
| Authorized Official Telephone | 5186542485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02570643 | 05 | |
| NY | CDPHP | 10019380 | 01 |
| NY | 01240995 | 05 |
| Street Address |
106 MAPLE ST |
| City | CORINTH |
| State | NY |
| Zip Code | 12822-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912350786 | Jennifer Anne Crave | Counselor | 105 Oak Street, Corinth, NY 12822 | 2016-07-18 |
| 1356460257 | Michael Edward Nolan | Dentist | 15 Sherman Ave, Corinth, NY 12822 | 2007-03-29 |
| 1811041155 | Ceferino Reyes Villa Fuerte Jr. | General Practice | 200 Smith Drive, Adirondack Clinic, Corinth, NY 12822 | 2007-01-23 |
| 1528178381 | William Jonathan Green | Dentist | 214 Center Street, Corinth, NY 12822 | 2006-08-30 |
| 1194795914 | Corinth Emergency Squad Inc | Ambulance | 101 Sherman Ave, Corinth, NY 12822 | 2006-01-24 |
| 1053880906 | Nys Opwdd | Registered Nurse | 200 Smith Drive, Corinth, NY 12822 | 2018-11-21 |
| 1760812564 | Meyer, Malin and Associates Pllc | Family Medicine | 101 Main Street, Corinth, NY 12822 | 2013-11-15 |
| 1760022685 | Wendy Lee Russell | Massage Therapist | 92 Main St, Corinth, NY 12822-1009 | 2020-01-08 |
| 1457662777 | Arthur J Heller | Eyewear Supplier (Equipment, not the service) | 92 Main St, Corinth, NY 12822-1009 | 2010-07-01 |
| 1275880650 | Michael Nolan Dds | Dentist | 15 Sherman Ave, Corinth, NY 12822-1017 | 2012-08-06 |
| Find all providers in zip 12822 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736856 | Bruce Boyd | Durable Medical Equipment & Medical Supplies | 211 Alcorn Dr, Corinth, MS 38834-8400 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909988 | Hair By Lady Sha LLC | Durable Medical Equipment & Medical Supplies | 395 E 3rd St, Mount Vernon, NY 10553-5124 | 2020-10-12 |
| 1104423714 | Hair By Shay Bonnie | Durable Medical Equipment & Medical Supplies | 15 William St # C, Central Islip, NY 11722-2404 | 2020-10-06 |
| 1043817976 | Complete Ortho Supply Inc. | Durable Medical Equipment & Medical Supplies | 1701 Avenue P Ste M, Brooklyn, NY 11229-1205 | 2020-10-04 |
| 1891301412 | Nf Med Supplies Corp | Durable Medical Equipment & Medical Supplies | 29 Montrose Ave Apt 2b, Brooklyn, NY 11206-2499 | 2020-09-18 |
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1851904718 | Caremax Dme, Inc. | Durable Medical Equipment & Medical Supplies | 22003 Jamaica Ave Lowr Level, Jamaica, NY 11428-2140 | 2020-08-28 |
| 1821601782 | Healthdepot Dme, Inc. | Durable Medical Equipment & Medical Supplies | 7001 Metropolitan Ave Lowr Level, Middle Village, NY 11379-2191 | 2020-08-28 |
| 1649882895 | Daniel Akilov | Durable Medical Equipment & Medical Supplies | 8022 210th St, Queens Village, NY 11427-1011 | 2020-08-19 |
| 1487271722 | Larry Kleinstein | Durable Medical Equipment & Medical Supplies | 437 W 44th St Apt 2re, New York, NY 10036-4443 | 2020-07-02 |
| 1023630126 | Ocean Wave Sleep and Snore Solutions LLC | Durable Medical Equipment & Medical Supplies | 3377 Long Beach Rd Ste C, Oceanside, NY 11572-5063 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RUSSELLS PHARMACY UPSTATE HOME RESPIRATORY EQUIPMENT 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.