NOBLE HEALTH SERVICES, INC. (NPI# 1750626453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750626453 |
| Entity Type | Organization |
| Organization Name | NOBLE HEALTH SERVICES, INC. |
| Practice Address |
6040 Tarbell Rd Syracuse NY 13206-1314 |
| Practice Telephone | 8888432040 |
| Mailing Telephone | 3154137780 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | TIMOTHY WALSH (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 8888432040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
031623 | NY | Suppliers |
| Y | 333600000X | Pharmacy | 031623 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03580467 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469388 | Noble Health Services, Inc. | Pharmacy | 2506 Lakeland Dr Ste 201, Flowood, MS 39232-7656 | 2017-10-31 |
| 1780228403 | Noble Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 6040 Tarbell Rd, Syracuse, NY 13206-1314 | 2019-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NOBLE HEALTH SERVICES, INC. | 6040 Tarbell Rd, Syracuse, NY 13206 |
| Washington State Corporations | NOBLE HEALTH SERVICES, INC. | 6040 Tarbell Rd, Syracuse, NY 13206-1314 |
| New York State Corporations | NOBLE HEALTH SERVICES, INC. | 6040 Tarbell Road, Syracuse, Ny 13206 |
| Street Address |
6040 TARBELL RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13206-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174705123 | John Thomas Copeland | Pharmacist | 6040 Tarbell Rd, Syracuse, NY 13206-1314 | 2007-12-01 |
| 1780228403 | Noble Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 6040 Tarbell Rd, Syracuse, NY 13206-1314 | 2019-11-06 |
| 1134536139 | Focused Care Pharmacy, Inc. | Pharmacy | 6040 Tarbell Rd, Suite 106, Syracuse, NY 13206-1314 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1821583436 | Jacqueline Amanda Weiner | Marriage & Family Therapist | 3532 James Street, Syracuse, NY 13206 | 2018-06-26 |
| 1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
| 1790296325 | Rachel Segrue | Registered Nurse | 420 Ridgewood Dt, Syracuse, NY 13206 | 2017-10-23 |
| 1013391754 | Iva Kay Peterson | Registered Nurse | 308 Nichols Ave, Syracuse, NY 13206 | 2015-07-13 |
| 1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
| 1669722237 | Kimberly Tortorici | Specialist | 1951 Caleb Avenue, Syracuse, NY 13206 | 2012-09-11 |
| 1669769394 | Janiqua M Davis | Licensed Practical Nurse | 158 Lynwood Ave, Apt. 1, Syracuse, NY 13206 | 2011-07-01 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| Find all providers in zip 13206 | ||||
| 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 |
|---|---|---|---|---|
| 1740798511 | Genoa Healthcare, LLC | Pharmacy | 1045 James St Ste P100, Syracuse, NY 13203-2730 | 2018-01-16 |
| 1649366188 | Gifford & West Pharmacy Inc | Pharmacy | 300 Gifford St, Syracuse, NY 13204-3257 | 2006-10-04 |
| 1649377581 | Harveys Medical Ctr Pharmacy of Syrac | Pharmacy | 833 E Genesee St, Syracuse, NY 13210-1507 | 2006-09-20 |
| 1437266616 | Kph Healthcare Services, Inc. | Pharmacy | 104 Lafayette Rd, Syracuse, NY 13205-2907 | 2006-08-24 |
| 1013024298 | Kph Healthcare Services, Inc. | Pharmacy | 4202 W Genesee St, Syracuse, NY 13219-1936 | 2006-08-24 |
| 1144333790 | Golub Corporation | Pharmacy | 2515 Erie Blvd E, Syracuse, NY 13224-1109 | 2006-08-17 |
| 1295848786 | Golub Corporation | Pharmacy | 4713 Onondaga Blvd, Syracuse, NY 13219-3371 | 2006-08-17 |
| 1518988849 | Penn Traffic Company The | Pharmacy | 3577 W Genesee St, Syracuse, NY 13219-2002 | 2006-07-21 |
| 1285682153 | Great Plains Pharmacy | Pharmacy | 302 E Avenue A, Syracuse, KS 67878-7098 | 2006-05-04 |
| 1245296672 | Henderson's Drug Store, Inc. | Pharmacy | 106 Arterial Rd, Syracuse, NY 13206-1558 | 2006-04-25 |
| Find all providers in SYRACUSE | ||||
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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.