NYS OMRDD TACONIC DDSO (NPI# 1336267962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336267962 |
| Entity Type | Organization |
| Organization Name | NYS OMRDD TACONIC DDSO |
| Other Organization Name | NEIGHBORCARE-TACONIC |
| Practice Address |
26 Center Cir Wassaic NY 12592-2637 |
| Mailing Address |
100 E Rivercenter Blvd Suite 1600 Covington KY 41011-1555 |
| Practice Telephone | 8458773509 |
| Practice Fax Number | 8458773503 |
| Mailing Telephone | 4103479281 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | REGIS ROBBINS (SECRETARY) |
| Authorized Official Telephone | 4103479281 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEIGHBORCARE PHARMACY SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
006540 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NCPDP | 3350117 | 01 |
| NY | 00665834 | 05 |
| Other Name | Type Code |
|---|---|
| NeighborCare-Taconic | Doing Business As Name - Organization |
| Street Address |
26 CENTER CIR |
| City | WASSAIC |
| State | NY |
| Zip Code | 12592-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811093057 | Joseph Bonanno | Internal Medicine | 26 Center Cir, Wassaic, NY 12592-2637 | 2006-09-15 |
| 1770847782 | Christina M Spano-ruggiero | Psychologist | 26 Center Cir, Wassaic, NY 12592-2637 | 2012-06-25 |
| 1417131384 | New York State | Case Management | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-12-27 |
| 1518159524 | Donna Jean Pasternak | Physician Assistant | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-08-14 |
| 1346380797 | Gulbir X Bhatia | Pediatrics | 26 Center Cir, Taconic Developmental Center, Wassaic, NY 12592-2637 | 2007-02-07 |
| 1598804171 | Anantapur Panduranga | General Practice | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174852909 | State of New York | Intermediate Care Facility, Mentally Retarded | 50 Cedar Lane, Wassaic, NY 12592 | 2009-12-07 |
| 1124216981 | Jennifer Prater | Social Worker | 3620 Route 22, Wassaic, NY 12592 | 2007-10-05 |
| 1023159563 | State of New York | Intermediate Care Facility, Mentally Retarded | 70 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-09 |
| 1609916659 | State of New York | Intermediate Care Facility, Mentally Retarded | 67 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-07 |
| 1376683854 | State of New York | Intermediate Care Facility, Mentally Retarded | Route 22, Wassaic, NY 12592 | 2007-02-07 |
| 1285956409 | Robin Ann Epstein | Social Worker | 3620 Route 22, Wassaic, NY 12592-2323 | 2010-02-16 |
| 1811154453 | Syma Cuttler | Counselor | 3620 Route 22, Wassaic, NY 12592-2323 | 2008-05-21 |
| 1891974457 | Astor Counseling Services | Community/Behavioral Health | 3620 Route 22, Wassaic, NY 12592-2323 | 2007-10-31 |
| 1871871020 | New York State | Intermediate Care Facility, Mentally Retarded | 51 Sinpatch Rd, Wassaic, NY 12592-2410 | 2011-07-21 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| Find all providers in zip 12592 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1326684069 | Procare Ltc of Syracuse, LLC | Pharmacy | 621 E Brighton Ave, Syracuse, NY 13210-4254 | 2019-11-18 |
| 1376108670 | Bh Drug Corp | Pharmacy | 8780a Sutphin Blvd, Jamaica, NY 11435-3342 | 2019-05-02 |
| 1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
| 1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
| 1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
| 1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| 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.