Holland Patent Pharmacy is an authorized DME supplier for medicare equipments and products.
Holland Patent Pharmacy is a Pharmacy in Holland Patent, New York. This pharmacy is owned and operated by Er Black Pharmacy Inc. It is located at 9553 Main Street, Holland Patent and it's customer support contact number is 315-865-8141. The authorized person of Holland Patent Pharmacy is Mr. Earl Robert Black Jr., R PH who is President Pharmacist of the pharmacy and his contact number is 315-865-8141. Active license number of Holland Patent Pharmacy is 024930 for Pharmacy in New York. Holland Patent Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Holland Patent Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Holland Patent Pharmacy 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:
Holland Patent Pharmacy
Type:
Pharmacy
Location:
9553 Main Street, Holland Patent, New York, 13354-0205
Phone:
315-865-8141
Fax:
315-865-4318
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:
Mr. Earl Robert Black Jr.
Credentials:
R PH
Position:
President Pharmacist
Contact Number:
315-865-8141
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:
1467519009
NPI Enumeration Date:
02 Jan, 2007
NPI Last Update On:
26 Nov, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holland Patent Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
024930
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3332727
Other
New York
Nabp #
02139724
Medicaid
New York
Medicare Enrollment:
Holland Patent Pharmacy 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
1951413863
O20100930054054
E R Black Pharmacy Inc
DME SUPPLIER - PHARMACY
1951413863
O20150707000602
E R Black Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9553 Main St, Holland Patent, New York
Zip:
13354
Phone Number:
315-865-8141
Fax Number:
315-865-4318
Patients can reach Holland Patent Pharmacy at 9553 Main Street, Holland Patent, New York or can call on customer care at 315-865-8141.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Holland Patent, New York
No other Pharmacies is available in Holland Patent, NY.