PHOENICIA PHARMACY
NPI 1699833715
Pharmacy - Community/Retail Pharmacy in Phoenicia, NY

Active since December 04, 2006
41 MAIN ST, PHOENICIA, NY 12464(845) 688-2215(845) 688-2917 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About PHOENICIA PHARMACY

This page provides the complete NPI Profile along with additional information for Phoenicia Pharmacy, a provider established in Phoenicia, New York operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1699833715 assigned on December 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 017198 (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Phoenicia Pharmacy. The authorized official of this NPI record is Martin Millman (Owner)

NPI
1699833715 Verify this NPI
Provider Legal Name
PHOENICIA PHARMACY
Other Organization Name
PHOENICIA PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
41 MAIN ST PHOENICIA, NY 12464
Location Phone
(845) 688-2215
Location Fax
(845) 688-2917
Mailing Address
41 MAIN ST PHOENICIA, NY 12464
Mailing Phone
(845) 688-2215
Mailing Fax
(845) 688-2917
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2006
Last Update Date
01-27-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
017198
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTIN MILLMAN

Authorized Official Title
OWNER
Authorized Official Phone
(845) 688-2215

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2061114OTHER (01)PK
00628813MEDICAID (05)NY 

Reviews for PHOENICIA PHARMACY

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699833715, enumerated as an "organization" on December 04, 2006.

The provider is located at 41 MAIN ST PHOENICIA, NY 12464 and the phone number is (845) 688-2215.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.