TACONIC PHARMACY INC
NPI 1376387886
Pharmacy - Long Term Care Pharmacy in Jefferson Valley, NY

Active since June 20, 2024CLIA 33D2214305 · Waiver
3659 LEE RD, JEFFERSON VALLEY, NY 10535(914) 245-3334(914) 245-4096 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Taconic Pharmacy Inc NPPES

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

TACONIC PHARMACY INC (NPI 1376387886), doing business as Taconic Pharmacy, is a healthcare organization registered as a long term care pharmacy in Jefferson Valley, New York and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Anthony John Ciarletta, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376387886
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameTACONIC PHARMACY INC
Location Address3659 LEE RDJefferson Valley, NY 10535-1507
Mailing Address3659 Lee RdJefferson Valley, NY 10535-1507 · (914) 245-3334 · Fax (914) 245-4096
Fax(914) 245-4096
Organization SubpartNo
Authorized OfficialAnthony John CiarlettaVice President · (914) 245-3334
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
NPI 1376387886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3659 LEE RD, Jefferson Valley, NY 10535

Other Names 1

Doing Business AsTaconic Pharmacy

Other Identifiers 2

Other030654NY · Nys Board License Number
Medicaid03351622NY

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2214305

Taconic Pharmacy Inc · Jefferson Valley, NY
Active · expires Mar 26, 2027
CLIA Number33D2214305
Laboratory TypePharmacy
Certificate Effective DateFebruary 22, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Steven W. Pappas
Laboratory Phone(914) 245-3334
Laboratory LocationTaconic Pharmacy Inc3659 Lee Road, Jefferson Valley, NY 10535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pharmacy
3659 LEE RD
JEFFERSON VALLEY, NY 10535
Pharmacist
3659 LEE RD
JEFFERSON VALLEY, NY 10535
Pharmacy (Community/Retail Pharmacy)
3659 LEE RD
JEFFERSON VALLEY, NY 10535

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 Taconic Pharmacy Inc's NPI number?

The NPI number for Taconic Pharmacy Inc is 1376387886. It was assigned to this organization in the NPPES registry on June 20, 2024. The provider is doing business as Taconic Pharmacy.

Where is Taconic Pharmacy Inc located?

Taconic Pharmacy Inc is located at 3659 Lee Rd, Jefferson Valley, NY 10535. The listed phone number is (914) 245-3334.

What is Taconic Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Taconic Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2214305) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Taconic Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Taconic Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taconic Pharmacy Inc was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.