North Street Pharmacy, Inc.
LBN: North Street Pharmacy Inc
North Street Pharmacy, Inc. is an health care organization with primary practice located at 200 North St St 103, Geneva NY 14456-1561. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
North Street Pharmacy Inc can be contacted via phone (315) 787-5388, or through Gray, Steven via phone (315) 787-5388.
Contact Information
Primary practice address
200 North St St 103
Geneva NY 14456-1561
Phone: (315) 787-5388
Fax: (315) 781-3295
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 031345 | New York |
Profile Details
NPI number | 1073872396 |
---|---|
LBN Legal business name | North Street Pharmacy Inc |
DBA Doing business as | North Street Pharmacy, Inc. |
Authorized official | Gray, Steven BACHELOR PHARM |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 7th, 2012 |
Last updated | Aug 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073872396 | NPPES |
New York | MEDICAID | 03510125 | |
New York | Other | 2135970 |
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