HENDERSON'S DRUG STORE, INC. (NPI# 1467418962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467418962 |
| Entity Type | Organization |
| Organization Name | HENDERSON'S DRUG STORE, INC. |
| Other Organization Name | PENN YAN |
| Practice Address |
126 Main St Penn Yan NY 14527-1219 |
| Mailing Address |
Po Box 696 Watkins Glen NY 14891-0696 |
| Practice Telephone | 3155364448 |
| Practice Fax Number | 3155365043 |
| Mailing Telephone | 6075354999 |
| Mailing Fax Number | 6075354320 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2010-03-04 |
| Authorized Official Name | LAWRENCE A JEPSEN (PRESIDENT) |
| Authorized Official Telephone | 6075354999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 006743 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01632140 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Yan | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699732388 | Henderson's Drug Store, Inc. | Pharmacy | 1923 Lake Ave., Lima, NY 14485 | 2006-04-27 |
| 1184681868 | Henderson's Drug Store, Inc. | Pharmacy | 320 W Main Street, Montour Falls, NY 14865 | 2006-04-27 |
| 1568428993 | Henderson's Drug Store, Inc. | Pharmacy | 27 Shethar St, Hammondsport, NY 14840-9380 | 2006-04-25 |
| 1245296672 | Henderson's Drug Store, Inc. | Pharmacy | 106 Arterial Rd, Syracuse, NY 13206-1558 | 2006-04-25 |
| 1639135809 | Henderson's Drug Store, Inc. | Pharmacy | 200 North St, Suite 103, Geneva, NY 14456-1561 | 2006-04-25 |
| 1730145921 | Henderson's Drug Store, Inc. | Pharmacy | 95 Fall St, Seneca Falls, NY 13148-1408 | 2006-04-25 |
| Street Address |
126 MAIN ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023159753 | Linda Potts | Pharmacist | 126 Main St, Penn Yan, NY 14527-1219 | 2007-02-08 |
| 1013096429 | Douglas Calvin Wager | Pharmacist | 126 Main St, Penn Yan, NY 14527-1219 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
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| 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.