OLDE CANAL PHARMACY INC (NPI# 1811033426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811033426 |
| Entity Type | Organization |
| Organization Name | OLDE CANAL PHARMACY INC |
| Other Organization Name | MILLERS PHARMACY |
| Practice Address |
201 Scottsville W Henrietta Rd West Henrietta NY 14586-9596 |
| Mailing Address |
201 Scottsville W Henrietta Rd Suite 1 West Henrietta NY 14586-9596 |
| Practice Telephone | 5858893510 |
| Practice Fax Number | 5853345833 |
| Mailing Telephone | 5858893510 |
| Mailing Fax Number | 5853345833 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MICHAEL WELSCH (PRESIDENT) |
| Authorized Official Telephone | 5858893510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
022482 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01569171 | 05 | |
| PK | 2057593 | 01 |
| Other Name | Type Code |
|---|---|
| MILLERS PHARMACY | Doing Business As Name - Organization |
| Street Address |
201 SCOTTSVILLE W HENRIETTA RD |
| City | WEST HENRIETTA |
| State | NY |
| Zip Code | 14586-9596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912238031 | Lewanne F Nettles | Pharmacist | 201 Scottsville W Henrietta Rd, West Henrietta, NY 14586-9596 | 2010-01-29 |
| 1730213620 | Michael Edward Welsch | Pharmacist | 201 Scottsville W Henrietta Rd, Suite 1, West Henrietta, NY 14586-9596 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773154 | Nicole L Dixon | Licensed Practical Nurse | 146 Bennington Hills Court, West Henrietta, NY 14586 | 2011-04-20 |
| 1497068944 | Thomas Gene Lightfoot | Pathology | 825 John Street, West Henrietta, NY 14586 | 2010-07-26 |
| 1689002230 | Iesha Gray | Licensed Practical Nurse | 123 E Path Rise, West Henrietta, NY 14586-8601 | 2013-10-17 |
| 1437666211 | Seema Mehta | Registered Nurse | 51 E Path Rise, W Henrietta, NY 14586-8608 | 2018-01-03 |
| 1679896096 | Sheryl Sugrue Smith | Doula | 344 Davies Ave, West Henrietta, NY 14586-8807 | 2010-03-12 |
| 1871902213 | Young-in Cho | Social Worker | 135 Murphy Pl Apt 4, West Henrietta, NY 14586-8820 | 2014-08-11 |
| 1063655298 | Marc Allen Herbert | Registered Nurse | 385 Davies Ave, Apartment 4, West Henrietta, NY 14586-8829 | 2009-04-17 |
| 1477830842 | Karin Marie Sams | Licensed Practical Nurse | 355 Davies Ave, Apt 5, West Henrietta, NY 14586-8830 | 2011-11-13 |
| 1598140097 | Andy Oshiopekhai Oshiotse | Licensed Practical Nurse | 116 Caitlin Trl, West Henrietta, NY 14586-8911 | 2015-07-25 |
| 1093817348 | Max Yarowsky | Family Medicine | 44 Derrick Dr, West Henrietta, NY 14586-8913 | 2006-09-05 |
| Find all providers in zip 14586 | ||||
| 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 |
|---|---|---|---|---|
| 1407395270 | Pharmacy Corporation of America | Pharmacy | 45 Becker Road, Suite D, West Henrietta, NY 14586-9205 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
| City | WEST HENRIETTA |
| Zip Code | 14586 |
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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.