Green Street Pharmacy

LBN: Addison'S Apothecary Inc.
Green Street Pharmacy is an health care organization with primary practice located at 131 East Green Street Suite 2, Ithaca NY 14850-5661. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Addison'S Apothecary Inc. can be contacted via phone (607) 882-9500, or through Pagano, Nicole via phone (607) 882-9500.

Contact Information

Primary practice address
131 East Green Street Suite 2 Ithaca NY 14850-5661
Phone: (607) 882-9500
Fax: (607) 882-9503
Website:
Map and Directions
Authorized official contact:
Name: Pagano, Nicole PHARMD
Phone: (607) 882-9500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1407133218
LBN Legal business name Addison'S Apothecary Inc.
DBA Doing business as Green Street Pharmacy
Authorized official Pagano, Nicole PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2011
Last updated Jan 16th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407133218 NPPES
New York MEDICAID 03454464

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