PORTVILLE PHARMACY INC (NPI# 1750326195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750326195 |
| Entity Type | Organization |
| Organization Name | PORTVILLE PHARMACY INC |
| Other Organization Name | DUNNS DRUG STORE |
| Practice Address |
323 Main St Bolivar NY 14715-1108 |
| Practice Telephone | 5859281530 |
| Practice Fax Number | 5859282972 |
| Mailing Telephone | 5859281530 |
| Mailing Fax Number | 5859282972 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | BEVERLY VAN CUREN (OWNER) |
| Authorized Official Telephone | 5859281530 |
| 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 |
017472 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00623309 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3320544 | 01 |
| Other Name | Type Code |
|---|---|
| DUNNS DRUG STORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942348834 | Portville Pharmacy Inc | Pharmacist | 12 S Main St, Portville, NY 14770-9794 | 2007-02-02 |
| Street Address |
323 MAIN ST |
| City | BOLIVAR |
| State | NY |
| Zip Code | 14715-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225191422 | Portville Pharmacy,inc. | Pharmacist | 323 Main St, Bolivar, NY 14715-1108 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134384357 | Tracie Dawn Edwards | Hearing Instrument Specialist | 7760 Route 417 W, Bolivar, NY 14715 | 2008-07-28 |
| 1740619154 | Robyn Sue Smith | Registered Nurse | 100 School Street, Bolivar, NY 14715 | 2013-11-06 |
| 1477176667 | The Memorial Hospital of William F and Gertrude F Jones | Clinic/Center | 120 1st St, Bolivar, NY 14715-1132 | 2020-05-21 |
| 1982689030 | Richard P Cudahy | Internal Medicine | 120 1st St, Bolivar, NY 14715-1132 | 2005-12-13 |
| 1043365471 | Bolivar-richburg Central School District | Local Education Agency (LEA) | 100 School St, Bolivar, NY 14715-1235 | 2007-01-24 |
| 1568864049 | Sara Johnson | Registered Nurse | 100 School St, Bolivar, NY 14715-1235 | 2014-09-16 |
| 1558644831 | Victoria M Hefner | Registered Nurse | 100 School St, Bolivar, NY 14715-1235 | 2011-09-23 |
| 1831481878 | Cassie Dora Craft | Licensed Practical Nurse | 82 Olive St, Bolivar, NY 14715-1310 | 2011-05-10 |
| 1447652250 | Jennifer Baxter | Licensed Practical Nurse | 82 Olive St, Bolivar, NY 14715-1310 | 2014-09-24 |
| 1164821526 | Maidie Andrews | Licensed Practical Nurse | 82 Olive St, Bolivar, NY 14715-1310 | 2014-08-21 |
| Find all providers in zip 14715 | ||||
| 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] |
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| 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.