GANNETT CORNELL UNIVERSITY HEALTH SERVICES PHARMACY (NPI# 1336276179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336276179 |
| Entity Type | Organization |
| Organization Name | GANNETT CORNELL UNIVERSITY HEALTH SERVICES PHARMACY |
| Other Organization Name | GANNETT HEALTH SERVICES |
| Practice Address |
110 Ho Plaza Ithaca NY 14853-3101 |
| Practice Telephone | 6072556976 |
| Practice Fax Number | 6072545042 |
| Mailing Telephone | 6072556976 |
| Mailing Fax Number | 6072545042 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRACEY M DENARDO (HEAD PHARMACIST) |
| Authorized Official Telephone | 6072556976 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 026826 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NCPDP | 3339555 | 01 |
| NY | STATE LISCENSE | 026826 | 01 |
| Other Name | Type Code |
|---|---|
| Gannett Health Services | Other Name - Individual/Organization |
| Street Address |
110 HO PLAZA |
| City | ITHACA |
| State | NY |
| Zip Code | 14853-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720077563 | Katherine Heiss Zang | Family Medicine | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2005-10-14 |
| 1679071377 | Paul Vincent Soper | Social Worker | 110 Ho Plaza, Cornell University, Ithaca, NY 14853 | 2018-01-28 |
| 1790292407 | Karen N. Williams | Psychologist | 110 Ho Plaza, Cornell Health, Ithaca, NY 14853 | 2018-01-03 |
| 1568979383 | Sheila Singh | Psychologist | 110 Ho Plaza, Cornell Health #548, Ithaca, NY 14853-3101 | 2018-01-02 |
| 1114371085 | Stephanie Wright | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2016-04-18 |
| 1467806653 | Michael Doan | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2016-04-14 |
| 1295153864 | Jennifer Krause | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2014-04-01 |
| 1013353952 | Monica Josey | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2013-05-20 |
| 1497191936 | Andrea Sutfin | Licensed Practical Nurse | 110 Ho Plaza, Ithaca, NY 14853 | 2013-05-10 |
| 1679919112 | Rebecca Hulslander | Licensed Practical Nurse | 110 Ho Plaza, Ithaca, NY 14853 | 2013-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174018071 | Bernard Francis Depalma | Physical Therapist | Cornell University, 512 Campus Road, Teagle Hall, Ithaca, NY 14853 | 2018-06-25 |
| 1538665369 | Audrey Hulbert | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-02 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1033486899 | Philipp Ewert | Specialist/Technologist | 512 Campus Road, Tegal Hall, Ithaca, NY 14853 | 2011-11-22 |
| 1174828339 | Jennifer A Keough | Specialist/Technologist | Teagle Hall, Campus Rd, Cornell University, Ithaca, NY 14853 | 2011-01-20 |
| 1811029275 | Chris Scarlata | Specialist/Technologist | Teagle Hall, Campus Rd., Ithaca, NY 14853 | 2007-03-12 |
| 1407496250 | Momina Hayy Mastan | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2020-01-09 |
| 1982267845 | Rachel Coye | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-04-17 |
| 1871055160 | Mark Slattery | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-04-04 |
| 1568923977 | Tingna Min | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-03-28 |
| Find all providers in zip 14853 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1457640229 | Osteopathy Matters, Pllc | Clinic/Center | 200 Pleasant Grove Rd, 6, Ithaca, NY 14850-2664 | 2011-04-01 |
| 1508028416 | Tompkins Community Chiropractic, P.C. | Clinic/Center | 435 Franklin St, Suite 206, Ithaca, NY 14850-3570 | 2008-07-01 |
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| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| 1780218263 | Nyc Speech-language Pathologsit, P.C. | Clinic/Center | 475 White Plains Rd Ste 21, Eastchester, NY 10709-5537 | 2020-02-24 |
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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.