WEST FAYETTE DRUGS LLC (NPI# 1548759095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548759095 |
| Entity Type | Organization |
| Organization Name | WEST FAYETTE DRUGS LLC |
| Practice Address |
713a W Fayette St Syracuse NY 13204-2902 |
| Practice Telephone | 7326788459 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | MALLIKA KOPALLE (OWNER) |
| Authorized Official Telephone | 7326788459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
713A W FAYETTE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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.