FAIRBANKS PHARMACY INC. (NPI# 1942273636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942273636 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS PHARMACY INC. |
| Practice Address |
37 Main St Sidney NY 13838-1139 |
| Practice Telephone | 6075631660 |
| Practice Fax Number | 6075631762 |
| Mailing Telephone | 6075631660 |
| Mailing Fax Number | 6075631762 |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID E VANVALKENBURG (OWNER / CHIEF PHARMACIST) |
| Authorized Official Telephone | 6075631660 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| X | 333600000X | Pharmacy | 012692 | NY | Suppliers |
| X | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDPHP INSURANCE | 10034668 | 01 | |
| MVP HEALTH PLAN | 347918 | 01 | |
| NY | 01289596 | 05 | |
| NABP | 3317054 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FAIRBANKS PHARMACY INC. | 37 Main St, Sidney, Ny 138381138 |
| Street Address |
37 MAIN ST |
| City | SIDNEY |
| State | NY |
| Zip Code | 13838-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184891095 | Kelly Ann Palmatier | Pharmacist | 37 Main St, Sidney, NY 13838-1139 | 2008-05-09 |
| 1174735989 | Elwin Eugene Vanvalkenburg | Pharmacist | 37 Main St, Sidney, NY 13838-1139 | 2007-05-04 |
| 1235268483 | David William Lewis | Pharmacist | 37 Main St, Sidney, NY 13838-1139 | 2007-03-05 |
| 1982760062 | David Elwin Vanvalkenburg | Pharmacist | 37 Main St, Sidney, NY 13838-1139 | 2006-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222341 | Christina Rutenber | Occupational Therapy Assistant | Edmeston Central School, 11 North St., Edmeston, NY 13838 | 2019-08-27 |
| 1669715199 | Valley Veterinary Associates | Veterinarian | 647 State Highway 7, Sidney, NY 13838 | 2013-04-03 |
| 1740441658 | Lutfallah T Swabini | Pharmacist | Main St and Steiner Rd, Sidney, NY 13838 | 2008-06-23 |
| 1063626752 | David Melvin Bornstein | Dentist | 39 Delaware Avenue, Sidney, NY 13838 | 2007-05-10 |
| 1952513947 | Joshua House Inc | Case Management | 10 Division Street, Sidney, NY 13838 | 2007-05-04 |
| 1124170873 | Bonnie Lynn Crist | Chiropractor | 106 River St, Sidney, NY 13838 | 2007-01-16 |
| 1801908553 | Rani Kapur-pado | Internal Medicine | 43 Pearl Street, 2nd Fl Suite 1a Rani Kapur-pado Do LLC, Sidney, NY 13838 | 2006-08-31 |
| 1083726731 | Rohan Senerat Jayasena | Pediatrics | 44 Pearl Street, Sidney, NY 13838 | 2006-08-31 |
| 1598264699 | Amelia Sutphin | Pharmacist | 10 Main St, Sidney, NY 13838 | 2018-02-05 |
| 1902227374 | Georgia A. Bell | Registered Nurse | 15 Pearl St. E, Elementary School Health Office, Sidney, NY 13838 | 2014-01-02 |
| Find all providers in zip 13838 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
| 1972643914 | Consultant Pharmacists Inc | Durable Medical Equipment & Medical Supplies | 714 Illinois Street, Sidney, IA 51652 | 2007-02-07 |
| 1790846434 | Orl, Inc. | Durable Medical Equipment & Medical Supplies | 915 West Michigan, Yager Bldg, Suite 301, Sidney, OH 45365-2401 | 2006-12-13 |
| 1073695680 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 S Central Ave, Sidney, MT 59270-4126 | 2006-10-20 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1184727844 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 324 4th Ave, Sidney, OH 45365-1102 | 2006-09-07 |
| 1053338152 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3001 Silverberg Dr, Sidney, NE 69162-3033 | 2006-07-16 |
| 1548294242 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2100 Michigan St, Sidney, OH 45365-9005 | 2006-07-10 |
| 1194756247 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 171 Delaware Ave, Sidney, NY 13838-1349 | 2006-07-06 |
| 1821027848 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1944 Illinois St, Sidney, NE 69162-1427 | 2006-07-02 |
| Find all providers in SIDNEY | ||||
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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.