GEROULD'S PROFESSIONAL PHARMACY INC. (NPI# 1639630635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639630635 |
| Entity Type | Organization |
| Organization Name | GEROULD'S PROFESSIONAL PHARMACY INC. |
| Other Organization Name | GEROULD'S PHARMACY #1 |
| Practice Address |
130 S Main St Elmira NY 14904-1309 |
| Practice Telephone | 6077336696 |
| Practice Fax Number | 6077370567 |
| Mailing Telephone | 6077320597 |
| Mailing Fax Number | 6077337911 |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | FRANK T STEED (OWNER) |
| Authorized Official Telephone | 6077320597 |
| Authorized Official Credential | COO |
| Is Organization Subpart | Y |
| Parent Organization Name | GEROULD'S PROFESSIONAL PHARMACY INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00358801 | 05 |
| Other Name | Type Code |
|---|---|
| Gerould's Pharmacy #1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528092798 | Gerould's Professional Pharmacy Inc. | Pharmacy | 215 Hoffman St, Elmira, NY 14905-2423 | 2006-07-11 |
| 1972537140 | Gerould's Professional Pharmacy Inc. | Pharmacy | 2887 Westinghouse Rd, Horseheads, NY 14845-8110 | 2006-07-11 |
| 1548721749 | Gerould's Professional Pharmacy Inc. | Pharmacy | 2887 Westinghouse Rd, Horseheads, NY 14845-8110 | 2019-03-29 |
| 1043232283 | Gerould's Professional Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 200 S Main St, Elmira, NY 14904-1311 | 2006-07-24 |
| 1184658353 | Gerould's Professional Pharmacy Inc. | Pharmacy | 130 S Main St, Elmira, NY 14904-1309 | 2006-07-11 |
| Street Address |
130 S MAIN ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14904-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392320 | Arin Reid Schlott | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2020-10-07 |
| 1407309073 | Brian Matthew Bowman | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2016-07-29 |
| 1538519228 | Derik Wandell | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2016-06-14 |
| 1881081222 | Mark W Carswell | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2015-04-23 |
| 1265654867 | Mark A Steed | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2007-05-03 |
| 1184705592 | Michael J Calveric | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2006-10-18 |
| 1184658353 | Gerould's Professional Pharmacy Inc. | Pharmacy | 130 S Main St, Elmira, NY 14904-1309 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1649501743 | Rose Marie Horch | Licensed Practical Nurse | 1198 Maple Ave., C-7, Elmira, NY 14904 | 2010-01-29 |
| 1831164987 | Richard B Dunn | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-02-22 |
| 1407358989 | Sara Goodwin | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904 | 2018-03-01 |
| 1841378965 | Richard B Dunn Dds PC | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1649358771 | Prakash Thuraisamy | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1861591109 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 209 Mount Zoar Street, Elmira, NY 14904-1231 | 2006-09-22 |
| 1760963557 | Caleb Mccaig | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2018-08-28 |
| 1497936157 | Mary Volino | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-21 |
| Find all providers in zip 14904 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1841357050 | Elmira Psychiatric Center | Pharmacy | 100 Washington St, Elmira, NY 14901-2849 | 2007-01-03 |
| 1588686281 | Chemung County Health Ctr.-nursing Facility | Pharmacy | 103 Washington St, Elmira, NY 14901-3220 | 2006-07-24 |
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| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
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| 1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
| 1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
| 1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
| 1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| 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.