GOLUB CORPORATION (NPI# 1144333790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144333790 |
| Entity Type | Organization |
| Organization Name | GOLUB CORPORATION |
| Other Organization Name | PRICE CHOPPER PHARMACY |
| Practice Address |
2515 Erie Blvd E Syracuse NY 13224-1109 |
| Mailing Address |
461 Nott St Mb#202 Schenectady NY 12308-1812 |
| Practice Telephone | 3154491016 |
| Practice Fax Number | 3154492666 |
| Mailing Telephone | 5183791618 |
| Mailing Fax Number | 5183566978 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | KATHLEEN BRYANT (VP OF PHARMACY) |
| Authorized Official Telephone | 5183791122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
19463 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064563 | 01 | |
| NY | 01019070 | 05 |
| Other Name | Type Code |
|---|---|
| PRICE CHOPPER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265800726 | Golub Corporation | Pharmacy | 2981 Ford Street Ext, Suite 9, Ogdensburg, NY 13669-3474 | 2015-09-14 |
| 1578810008 | Golub Corporation | Pharmacy | 241 N Comrie Ave, Johnstown, NY 12095-1501 | 2012-08-15 |
| 1649550336 | Golub Corporation | Pharmacy | 115 Temple Hill Rd, New Windsor, NY 12553-6812 | 2011-08-25 |
| 1477855229 | Golub Corporation | Pharmacy | 1 Kendall Way, Malta, NY 12020-4399 | 2010-11-30 |
| 1770806135 | Golub Corporation | Pharmacy | 142 State Route 94 S, Warwick, NY 10990-3663 | 2010-03-12 |
| 1558475848 | Golub Corporation | Pharmacy | 12 W 1st St S, Fulton, NY 13069-1635 | 2006-08-17 |
| 1154434694 | Golub Corporation | Pharmacy | 15 Dardess Dr, Chatham, NY 12037-1439 | 2006-08-17 |
| 1922111327 | Golub Corporation | Pharmacy | 39 N Plank Rd, Mid Valley Mall, Newburgh, NY 12550-2118 | 2006-08-17 |
| 1831202217 | Golub Corporation | Pharmacy | 72 Pullman St, Worcester, MA 01606-3311 | 2006-08-17 |
| 1124132410 | Golub Corporation | Pharmacy | 142 Genesee St, Oneida, NY 13421-2704 | 2006-08-17 |
| Street Address |
2515 ERIE BLVD E |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13224-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053747139 | Sarah Wurz | Pharmacist | 2515 Erie Blvd E, Syracuse, NY 13224-1109 | 2013-09-19 |
| 1982926044 | Brock M Wilson | Pharmacist | 2515 Erie Blvd E, Syracuse, NY 13224-1109 | 2010-02-17 |
| 1811178510 | John Joseph Dolinsky | Pharmacist | 2515 Erie Blvd E, Syracuse, NY 13224-1109 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329534 | Judie Lyn Gordon-louison | Registered Nurse | 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 | 2019-04-25 |
| 1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
| 1043604762 | Heather Lynn Blum | Licensed Practical Nurse | 120 Niven Street, Syracuse, NY 13224 | 2015-03-19 |
| 1912226523 | Florence Delisi | Licensed Practical Nurse | 2315 East Fayette St, Syracuse, NY 13224 | 2010-05-21 |
| 1336476563 | Kimberlee Anne Difulio | Licensed Practical Nurse | 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 | 2009-11-09 |
| 1134371081 | Amy Lynn Ezekiel | Speech-Language Pathologist | 3049 East Genesee Street, Syracuse, NY 13224 | 2008-10-22 |
| 1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
| 1447317037 | Fumiyo Hirano | Social Worker | 182 Edgehill Road, Syracuse, NY 13224 | 2007-01-02 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
| 1235222530 | Bernadine Alese Martin | Dentist | 1125 Salt Springs Road, Syracuse, NY 13224 | 2006-10-02 |
| Find all providers in zip 13224 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1043871775 | Syracuse Community Health Pharmacy LLC | Pharmacy | 819 S Salina St Ste B, Syracuse, NY 13202-3527 | 2019-06-24 |
| 1487996377 | Kph Healthcare Services, Inc. | Pharmacy | 2912 James St, Syracuse, NY 13206-2241 | 2013-03-19 |
| 1376893529 | Kph Healthcare Services, Inc. | Pharmacy | 307 Nottingham Rd., Syracuse, NY 13210 | 2012-09-14 |
| 1346434420 | Cvs Albany LLC | Pharmacy | 3657 W Genesee St, Syracuse, NY 13219-2003 | 2007-08-31 |
| 1558460725 | Eckerd Corporation | Pharmacy | 600 Butternut St, Syracuse, NY 13208-2738 | 2006-09-22 |
| 1790892974 | Kph Healthcare Services, Inc. | Pharmacy | 406 Butternut St., Syracuse, NY 13208-2627 | 2006-08-24 |
| 1992274831 | Westside Family Pharmacy LLC | Pharmacy | 216 Seymour St, Syracuse, NY 13204-3208 | 2018-11-21 |
| 1225547995 | Dharma Pharmacy LLC | Pharmacy | 753 James St Unit C4, Syracuse, NY 13203-2108 | 2017-09-26 |
| 1134536139 | Focused Care Pharmacy, Inc. | Pharmacy | 6040 Tarbell Rd, Suite 106, Syracuse, NY 13206-1314 | 2014-07-22 |
| 1205174935 | Kph Healthcare Services, Inc. | Pharmacy | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-01-31 |
| Find all providers in SYRACUSE | ||||
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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.