HENDERSON'S DRUG STORE, INC. (NPI# 1568428993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568428993 |
| Entity Type | Organization |
| Organization Name | HENDERSON'S DRUG STORE, INC. |
| Other Organization Name | PARK PHARMACY |
| Practice Address |
27 Shethar St Hammondsport NY 14840-9380 |
| Mailing Address |
Po Box 696 Watkins Glen NY 14891-0696 |
| Practice Telephone | 6075692800 |
| Practice Fax Number | 6075693250 |
| Mailing Telephone | 6075354999 |
| Mailing Fax Number | 6075354320 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-05-22 |
| NPI Deactivation Date | 04/19/2012 |
| NPI Reactivation Date | 2012-05-22 |
| Authorized Official Name | LAWRENCE A JEPSEN (PRESIDENT) |
| Authorized Official Telephone | 6075354999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 027457 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02694791 | 05 |
| Other Name | Type Code |
|---|---|
| Park Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699732388 | Henderson's Drug Store, Inc. | Pharmacy | 1923 Lake Ave., Lima, NY 14485 | 2006-04-27 |
| 1184681868 | Henderson's Drug Store, Inc. | Pharmacy | 320 W Main Street, Montour Falls, NY 14865 | 2006-04-27 |
| 1245296672 | Henderson's Drug Store, Inc. | Pharmacy | 106 Arterial Rd, Syracuse, NY 13206-1558 | 2006-04-25 |
| 1467418962 | Henderson's Drug Store, Inc. | Pharmacy | 126 Main St, Penn Yan, NY 14527-1219 | 2006-04-24 |
| 1639135809 | Henderson's Drug Store, Inc. | Pharmacy | 200 North St, Suite 103, Geneva, NY 14456-1561 | 2006-04-25 |
| 1730145921 | Henderson's Drug Store, Inc. | Pharmacy | 95 Fall St, Seneca Falls, NY 13148-1408 | 2006-04-25 |
| Street Address |
27 SHETHAR ST |
| City | HAMMONDSPORT |
| State | NY |
| Zip Code | 14840-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831464684 | Park Pharmacy of Hammondsport | Pharmacy | 27 Shethar St, Hammondsport, NY 14840-9380 | 2012-03-13 |
| 1902938749 | Jack T May | Pharmacist | 27 Shethar St, Hammondsport, NY 14840 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104031335 | Sam Pennise | Dentist | 28 Mechanic St, Box 386, Hammondsport, NY 14840 | 2007-05-11 |
| 1104913169 | Richard Arnold Williams | Pharmacist | 27 Sheather St, Hammondsport, NY 14840 | 2006-10-09 |
| 1083891980 | Hammondsport Volunteer Ambulance Corps, Inc. | Ambulance | 72 Pulteney Street, Hammondsport, NY 14840-0202 | 2008-01-23 |
| 1164836151 | Eve Bray | Registered Nurse | 9480 Lane Bauer Rd, Hammondsport, NY 14840-9326 | 2014-06-17 |
| 1346340031 | Wayne Arnold Wallace | Internal Medicine | 9521 Crystal Beach Rd, Hammondsport, NY 14840-9340 | 2006-09-23 |
| 1295902252 | Shelly Beth Day | Pharmacist | 27 Shether St, Hammondsport, NY 14840-9380 | 2008-05-09 |
| 1558668418 | Kevin S Murray | Pharmacist | 27 Shether St, Hammondsport, NY 14840-9380 | 2011-02-11 |
| 1043848591 | Julia Volonts | Art Therapist | 8725 County Route 74, Hammondsport, NY 14840-9441 | 2020-03-31 |
| 1659822385 | Kelsey Spinks | Social Worker | 8833 W Waneta Lake Rd, Hammondsport, NY 14840-9550 | 2016-10-18 |
| 1497067029 | Cheryl Ambrosone | Licensed Practical Nurse | 7625 Randallville Rd, Hammondsport, NY 14840-9578 | 2010-07-12 |
| Find all providers in zip 14840 | ||||
| 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 |
|---|---|---|---|---|
| 1831464684 | Park Pharmacy of Hammondsport | Pharmacy | 27 Shethar St, Hammondsport, NY 14840-9380 | 2012-03-13 |
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| 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 | ||||
| City | HAMMONDSPORT |
| Zip Code | 14840 |
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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.