WOLCOTT PHARMACY LLC (NPI# 1588923742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588923742 |
| Entity Type | Organization |
| Organization Name | WOLCOTT PHARMACY LLC |
| Other Organization Name | WOLCOTT PHARMACY LLC |
| Practice Address |
12042 E Main St Wolcott NY 14590-1022 |
| Practice Telephone | 3155942222 |
| Practice Fax Number | 3155942227 |
| Mailing Telephone | 3155942222 |
| Mailing Fax Number | 3155942227 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | JOHN TOMPKINS (OWNER) |
| Authorized Official Telephone | 5856248010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
031247 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2135108 | 01 |
| Other Name | Type Code |
|---|---|
| Wolcott Pharmacy LLC | Doing Business As Name - Organization |
| Street Address |
12042 E MAIN ST |
| City | WOLCOTT |
| State | NY |
| Zip Code | 14590-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740797653 | Chantel Melanie Upson Lockwood | Social Worker | 12044 E. Main St., Wolcott, NY 14590 | 2018-01-02 |
| 1891089579 | John Peter Goodbody | Physical Therapist | 8335 Graves Pt., Wolcott, NY 14590 | 2011-05-31 |
| 1568786101 | Maryellen Papaleo | Licensed Practical Nurse | 10809 Lummisville Road, Wolcott, NY 14590 | 2010-03-25 |
| 1538309869 | Susan T. Lapp | Occupational Therapist | 11926 West Main Street, Wolcott, NY 14590 | 2009-02-26 |
| 1669434577 | Kim M Jablonski | Physical Therapist | 12010 Main St, Wolcott, NY 14590 | 2006-04-05 |
| 1376505289 | Susan J Deking | Physical Therapist | 12010 Main St, Wolcott, NY 14590 | 2006-04-05 |
| 1366930422 | Sheila M Syrell | Licensed Practical Nurse | 12005 E Main St # 2, Wolcott, NY 14590-1021 | 2018-04-24 |
| 1295150357 | Amanda Randall | Chiropractor | 12039 E Main St, Wolcott, NY 14590-1021 | 2014-02-26 |
| 1427506906 | Tina Reed | Early Intervention Provider Agency | 12044 E Main St, Wolcott, NY 14590-1022 | 2016-09-14 |
| 1700036258 | Wayne Ltc Pharmacy Inc | Pharmacy | 12018 E Main St, Wolcott, NY 14590-1022 | 2008-09-22 |
| Find all providers in zip 14590 | ||||
| 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 |
|---|---|---|---|---|
| 1952825291 | Walgreen Co | Pharmacy | 5651 Whiskey Hill Rd, Wolcott, NY 14590-9379 | 2017-07-28 |
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|---|---|---|---|---|
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| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 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.