Cayuga Medical Center At Ithaca
Specialty Pharmacy
201 Dates Dr Ste 109, Ithaca
New York, 14850-1345
607-274-4385 Cayuga Medical Center At Ithaca is a Specialty Pharmacy in Ithaca, New York. It is located at 201 Dates Dr Ste 109, Ithaca and it's customer support contact number is 607-274-4385. The authorized person of Cayuga Medical Center At Ithaca is Martin Stallone who is Ceo/system President of the pharmacy and his contact number is 607-274-4189. Active license number of Cayuga Medical Center At Ithaca is 032823 for Specialty Pharmacy in New York. Cayuga Medical Center At Ithaca accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Cayuga Medical Center At Ithaca is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Cayuga Medical Center At Ithaca type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Cayuga Medical Center At Ithaca |
| Type: | Specialty Pharmacy |
| Location: | 201 Dates Dr Ste 109, Ithaca,
New York, 14850-1345 |
| Phone: | 607-274-4385 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Martin Stallone |
| Position: | Ceo/system President |
| Contact Number: | 607-274-4189 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1730596131 |
| NPI Enumeration Date: | 17 Jul, 2014 |
| NPI Last Update On: | 05 Dec, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cayuga Medical Center At Ithaca are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | 032823 | New York | Primary | |
| Community/Retail Pharmacy | 032823 | New York | Secondary | |
Medicare Enrollment:
Cayuga Medical Center At Ithaca is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7214847367 | O20160304000833 | Cayuga Medical Center At Ithaca, Inc. | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 201 Dates Dr Ste 109,
Ithaca, New York |
| Zip: | 14850-1345 |
| Phone Number: | -- |
Patients can reach Cayuga Medical Center At Ithaca at
201 Dates Dr Ste 109, Ithaca, New York or can
call on customer care at 607-274-4385.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.