STATE OF NEW YORK (NPI# 1053713883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053713883 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW YORK |
| Other Organization Name | CLINTON CORRECTIONAL FACILITY-PHARMACY |
| Practice Address |
Cook St Dannemora NY 12929 |
| Mailing Address |
Cook St Po Box 2000 Dannemora NY 12929 |
| Practice Telephone | 5184922511 |
| Mailing Telephone | 5184922511 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | PAULETTE LEDUC (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 5184922511 |
| Authorized Official Credential | BACHELOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
012999 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064781 | 01 |
| Other Name | Type Code |
|---|---|
| CLINTON CORRECTIONAL FACILITY-PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1336493014 | State of New York | Pharmacy | 201 Kapoor Hall, Buffalo, NY 14214-8033 | 2012-11-02 |
| 1487906368 | State of New York | Intermediate Care Facility, Mentally Retarded | 22 Sinpatch Rd, Wassaic, NY 12592-2432 | 2012-10-03 |
| 1972883171 | State of New York | Intermediate Care Facility, Mentally Retarded | 648 Leydecker Rd, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1851671044 | State of New York | Intermediate Care Facility, Mentally Retarded | 650 Leydecker Road, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1093093031 | State of New York | Intermediate Care Facility, Mentally Retarded | 526 Leydecker Rd, West Seneca, NY 14224-3731 | 2011-07-25 |
| 1871890590 | State of New York | Intermediate Care Facility, Mentally Retarded | 18 Sinpatch Rd, Wassaic, NY 12592-2432 | 2011-02-15 |
| 1174852909 | State of New York | Intermediate Care Facility, Mentally Retarded | 50 Cedar Lane, Wassaic, NY 12592 | 2009-12-07 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| 1013192079 | State of New York | Public Health or Welfare | Corning Tower 14th Floor Nys Ohip, Empire State Plaza, Albany, NY 12237-0044 | 2008-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | STATE OF NEW YORK INCORPORATED | 1215 Laurel Lane, Beverly Hills, California 90210 |
| New York State Corporations | STATE OF NEW YORK POLICE AND FIRE RETIREES ASSOCIATION OF BROOME COUNTY, INC. | P.o. Box 504, Johnson City, Ny 13790 |
| Street Address |
COOK ST |
| City | DANNEMORA |
| State | NY |
| Zip Code | 12929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608280 | Amie Lynn Eggleston | Pharmacy | 1165 Rte 374, Dannemora, NY 12929 | 2019-09-13 |
| 1790253383 | Gabrielle Clark | Dental Hygienist | 1156 Cook St., Dannemora, NY 12929 | 2018-11-13 |
| 1376908640 | Vonda Johnson | Family Medicine | 1156 Cook Street, Clinton Correctional Facility, Dannemora, NY 12929 | 2015-12-30 |
| 1629319744 | Jeannette G. Bingel | Specialist | 1189 Rt. 374 Cook St., Dannemora, NY 12929 | 2013-03-14 |
| 1265508253 | Village of Dannemora | Ambulance | 121 Emmons St., Dannemora, NY 12929 | 2006-11-28 |
| 1629089271 | Maggy Pharmacy Inc | Pharmacy | 1165 Rt 374, Dannemora, NY 12929 | 2006-08-10 |
| 1164746541 | Michael L Maggy | Pharmacist | 1165 Route 374, Dannemora, NY 12929-0369 | 2010-03-15 |
| 1407170871 | Leo E Maggy | Pharmacist | 1165 Route 374, Dannemora, NY 12929-0369 | 2010-03-15 |
| 1013075910 | Mark Kennedy Maggy | Pharmacist | 1165 Rt 374, Dannemora, NY 12929-0369 | 2006-12-04 |
| 1821543406 | Susan V. Devlin-varin | Nurse Practitioner | 1156 State Route 374, Dannemora, NY 12929-2002 | 2016-08-24 |
| Find all providers in zip 12929 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013495423 | Parkview Niagara Street, LLC | Pharmacy | 1050 Niagara Street, Suite 110, Buffalo, NY 14213-2007 | 2018-07-30 |
| 1467822163 | New York City Health and Hospitals Corp | Pharmacy | 275 Atlantic Ave, Brooklyn, NY 11201-5714 | 2015-10-07 |
| 1376945618 | Pine Pharmaceuticals, LLC | Pharmacy | 100 Colvin Woods Pkwy Ste 300, Tonawanda, NY 14150-6974 | 2014-09-18 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1649318767 | Thales Well Pharmacy Inc | Pharmacy | 1785 New York Ave, Huntington Station, NY 11746-1727 | 2007-02-01 |
| 1154488476 | United Health Services, Inc. | Pharmacy | 10 42 Mitchell Ave, Binghamton, NY 13903-1602 | 2007-01-03 |
| 1134137375 | New York City Health and Hospitals Corporation | Pharmacy | 545 E 142nd St, Bronx, NY 10454-2110 | 2006-08-03 |
| 1427063270 | New York City Health and Hospitals Corporation | Pharmacy | 234 E 149th St Rm 2a1, Bronx, NY 10451-5504 | 2006-07-30 |
| 1437783461 | Christina Bumbalo | Pharmacy | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-02-28 |
| 1194206508 | Christine Lavinio | Pharmacy | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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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.