Healthcare Provider Details

I. General information

NPI: 1063556033
Provider Name (Legal Business Name): NEWBURGH CHEMISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 N PLANK RD
NEWBURGH NY
12550-2111
US

IV. Provider business mailing address

37 N PLANK RD
NEWBURGH NY
12550-2111
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-3784
  • Fax: 845-561-2961
Mailing address:
  • Phone: 845-561-3784
  • Fax: 845-561-2961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number028224
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SAIBABU APPALANENI
Title or Position: VICE PRESIDENT
Credential:
Phone: 845-561-3784