Brewerton Pharmacy

LBN: Brewerton Pharmacy Inc
Brewerton Pharmacy is an health care organization with primary practice located at 9679 Brewerton Rd , Brewerton NY 13029-8738. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brewerton Pharmacy Inc can be contacted via phone (315) 676-4441, or through Chervinsky, Nicholas via phone (315) 676-4441.

Contact Information

Primary practice address
9679 Brewerton Rd Brewerton NY 13029-8738
Phone: (315) 676-4441
Fax: (315) 676-5255
Website:
Map and Directions
Authorized official contact:
Name: Chervinsky, Nicholas RPH
Phone: (315) 676-4441

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 019361 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1407950462
LBN Legal business name Brewerton Pharmacy Inc
DBA Doing business as Brewerton Pharmacy
Authorized official Chervinsky, Nicholas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 29th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407950462 NPPES
Other 2062896 PK
MEDICAID 00580149 PK

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