MTM PHARMACY SERVICES
NPI 1083721104
Pharmacy in Poughkeepsie, NY

Active since August 24, 2006
84 PATRICK LN, POUGHKEEPSIE, NY 12603(845) 485-3784(845) 485-2853 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mtm Pharmacy Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MTM PHARMACY SERVICES (NPI 1083721104) is a healthcare organization registered as a pharmacy in Poughkeepsie, New York and active in the NPI registry since August 2006. The organization lists Scott D Habecker, Secretary, as its authorized official.

NPPES Registry Identity

NPI1083721104
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCCRX OF NEW YORK, LLC
Location Address84 PATRICK LNPoughkeepsie, NY 12603-2936
Mailing Address5775 Allentown Blvd, Suite 101Harrisburg, PA 17112-4049 · (717) 810-1950 · Fax (717) 810-1952
Fax(845) 485-2853
Organization SubpartNo
Authorized OfficialScott D HabeckerSecretary · (717) 810-1950
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1083721104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 027843
Definition
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.
84 PATRICK LN, Poughkeepsie, NY 12603

Other Names 1

Doing Business AsMtm Pharmacy Services

Other Identifiers 1

Medicaid02749379NY

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
84 PATRICK LN
POUGHKEEPSIE, NY 12603
Pharmacist
84 PATRICK LN
POUGHKEEPSIE, NY 12603
Pharmacist
84 PATRICK LN
POUGHKEEPSIE, NY 12603
Pharmacist
84 PATRICK LN
POUGHKEEPSIE, NY 12603
Pharmacist
84 PATRICK LN
POUGHKEEPSIE, NY 12603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccrx Of New York, LLC's NPI number?

The NPI number for Ccrx Of New York, LLC is 1083721104. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Mtm Pharmacy Services.

Where is Ccrx Of New York, LLC located?

Ccrx Of New York, LLC is located at 84 Patrick Ln, Poughkeepsie, NY 12603. The listed phone number is (845) 485-3784.

What is Ccrx Of New York, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Ccrx Of New York, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.