Healthcare Provider Details

I. General information

NPI: 1598844706
Provider Name (Legal Business Name): CUTIE PHARMA-CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 MAIN ST
GREENWICH NY
12834-1215
US

IV. Provider business mailing address

114 MAIN ST
GREENWICH NY
12834-1215
US

V. Phone/Fax

Practice location:
  • Phone: 518-692-8500
  • Fax: 518-692-8552
Mailing address:
  • Phone: 518-692-8500
  • Fax: 518-692-8552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number025438
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberNR0308
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberME244459
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number036-0000035
License Number StateVT
# 5
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberPH09757
License Number StateRI
# 6
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number649
License Number StateCT

VIII. Authorized Official

Name: MARILYN J GOULTY
Title or Position: CFO
Credential: CPA
Phone: 518-692-8500