Healthcare Provider Details

I. General information

NPI: 1285409987
Provider Name (Legal Business Name): NOBLE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E MAIN ST
GOUVERNEUR NY
13642-1401
US

IV. Provider business mailing address

6040 TARBELL RD
SYRACUSE NY
13206-1314
US

V. Phone/Fax

Practice location:
  • Phone: 888-252-1497
  • Fax: 680-639-2733
Mailing address:
  • Phone: 888-843-2040
  • Fax: 888-842-3977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATIE MEEKS
Title or Position: DIRECTOR OF PHARMACY OPERATIONS
Credential:
Phone: 888-843-2040