HENDERSON'S DRUG STORE, INC. (NPI# 1639135809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639135809 |
| Entity Type | Organization |
| Organization Name | HENDERSON'S DRUG STORE, INC. |
| Other Organization Name | GENEVA |
| Practice Address |
200 North St Suite 103 Geneva NY 14456-1561 |
| Mailing Address |
Po Box 696 Watkins Glen NY 14891-0696 |
| Practice Telephone | 3157875388 |
| Practice Fax Number | 3157813295 |
| Mailing Telephone | 6075354999 |
| Mailing Fax Number | 6075354320 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-03-04 |
| 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 | 024380 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01981828 | 05 |
| Other Name | Type Code |
|---|---|
| Geneva | Other Name - Individual/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 |
| 1568428993 | Henderson's Drug Store, Inc. | Pharmacy | 27 Shethar St, Hammondsport, NY 14840-9380 | 2006-04-25 |
| 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 |
| 1730145921 | Henderson's Drug Store, Inc. | Pharmacy | 95 Fall St, Seneca Falls, NY 13148-1408 | 2006-04-25 |
| Street Address |
200 NORTH ST SUITE 103 |
| City | GENEVA |
| State | NY |
| Zip Code | 14456-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309633 | William Porter Welbourne | Internal Medicine | 200 North St, Suite 102, Geneva, NY 14456-1561 | 2005-10-08 |
| 1528580008 | Rachel Field Miller | Nurse Practitioner | 200 North St, Geneva, NY 14456-1561 | 2017-07-17 |
| 1811340169 | Jennifer Bell | Nurse Practitioner | 200 North St, Suite 102, Geneva, NY 14456-1561 | 2016-07-21 |
| 1326446485 | Western New York Medical Practice, P.C. | General Practice | 200 North St, Geneva, NY 14456-1561 | 2014-12-05 |
| 1558777359 | Rahul Gupta | Pediatrics | 200 North St, Geneva, NY 14456-1561 | 2014-07-01 |
| 1346503273 | Lisa Marie Fitzgerald | Nurse Practitioner | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2012-06-15 |
| 1073872396 | North Street Pharmacy Inc | Pharmacy | 200 North St, St 103, Geneva, NY 14456-1561 | 2012-05-07 |
| 1649554791 | Greg Fix | Physician Assistant | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2011-10-07 |
| 1215248869 | Victoria Lynn Mesko | Nurse Practitioner | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2010-06-29 |
| 1558517078 | Kristin Sarah Baltazar | Surgery | 200 North St, Suite 304, Geneva, NY 14456-1561 | 2008-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752716 | Kristin Marie Stokes | Physician Assistant | 1150 Ny-5, Geneva, NY 14456 | 2017-07-17 |
| 1063961746 | Christina Brennan | Licensed Practical Nurse | 601b W. Washinton St, Geneva, NY 14456 | 2016-09-23 |
| 1184005704 | Finger Lakes Family Chiropractic Wellness P.C. | Chiropractor | 324 W. North Street, Suite 1, Geneva, NY 14456 | 2015-06-10 |
| 1245636422 | Jeanne Cordelia Mcclung | Social Worker | 671 Exchange Street, Geneva, NY 14456 | 2014-11-14 |
| 1245583004 | Heather E Cutler | Chiropractor | 34 Seneca Street, Second Floor Office, Geneva, NY 14456 | 2012-10-17 |
| 1457612392 | Shirley A Mumford | Home Health | 590 Pre-emption Rd., Geneva, NY 14456 | 2012-06-07 |
| 1245512573 | Karla Ann Hare | Registered Nurse | 590 Pre-emption Road, Geneva, NY 14456 | 2011-09-13 |
| 1427377787 | Carolyn Esther Swain | Registered Nurse | 590 Pre Emption Road, Sibley Nursing Service, Geneva, NY 14456 | 2010-05-26 |
| 1053637645 | Marilyn Greene | Counselor | 64 Seneca Street, Geneva, NY 14456 | 2010-04-08 |
| 1225272610 | Finger Lakes Migrant Health Care Project | Dentist | 601 B West Washington St, Geneva, NY 14456 | 2009-04-29 |
| Find all providers in zip 14456 | ||||
| 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 |
|---|---|---|---|---|
| 1003097353 | Tops Markets LLC | Pharmacy | 381 Hamilton St, Geneva, NY 14456-2951 | 2007-11-15 |
| 1699780502 | The Tamarkin Company | Pharmacy | 755 S Broadway, Geneva, OH 44041-1916 | 2006-07-29 |
| 1932178944 | Wegmans Food Markets, Inc. | Pharmacy | 300 Hamilton St, Attn: Pharmacy Manager, Geneva, NY 14456-2913 | 2006-03-14 |
| 1073872396 | North Street Pharmacy Inc | Pharmacy | 200 North St, St 103, Geneva, NY 14456-1561 | 2012-05-07 |
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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 | ||||
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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.