Taconic Pharmacy

LBN: Taconic Pharmacy Inc
Taconic Pharmacy is an health care organization with primary practice located at 3659 Lee Rd , Jefferson Valley NY 10535-1507. 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. Taconic Pharmacy Inc can be contacted via phone (914) 245-3334, or through Ciarletta, Anthony via phone (914) 779-5133.

Contact Information

Primary practice address
3659 Lee Rd Jefferson Valley NY 10535-1507
Phone: (914) 245-3334
Fax: (914) 245-4096
Website:
Map and Directions
Authorized official contact:
Name: Ciarletta, Anthony PHARMACIST
Phone: (914) 779-5133

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 030654 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1548569098
LBN Legal business name Taconic Pharmacy Inc
DBA Doing business as Taconic Pharmacy
Authorized official Ciarletta, Anthony PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2011
Last updated Mar 31st, 2017 - about 7 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 1548569098 NPPES
Other 2129648 PK
MEDICAID 3351622 PK

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