Ira Davenport Memorial Hospital Inc
Long Term Care Pharmacy
7571 State Route 54, Bath
New York, 14810-9504
607-776-8500 607-776-8817
Ira Davenport Memorial Hospital Inc is a Long Term Care Pharmacy in Bath, New York. It is located at 7571 State Route 54, Bath and it's customer support contact number is 607-776-8500. The authorized person of Ira Davenport Memorial Hospital Inc is Mr. Jonathan I. Lawrence who is President & Chief Executive Officer of the pharmacy and his contact number is 607-776-8500. Active license number of Ira Davenport Memorial Hospital Inc is 014851 for Long Term Care Pharmacy in New York.
Ira Davenport Memorial Hospital Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Ira Davenport Memorial Hospital Inc 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: | Ira Davenport Memorial Hospital Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 7571 State Route 54, Bath,
New York, 14810-9504 |
| Phone: | 607-776-8500 |
| Fax: | 607-776-8817 |
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. Jonathan I. Lawrence |
| Position: | President & Chief Executive Officer |
| Contact Number: | 607-776-8500 |
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: | 1659312080 |
| NPI Enumeration Date: | 09 Jun, 2006 |
| NPI Last Update On: | 04 Mar, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ira Davenport Memorial Hospital Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 014851 | New York | Primary | |
| Clinic Pharmacy | | | Secondary | |
| Institutional Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
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 |
| 00332816 | Medicaid | New York | |
| 01151844 | Medicaid | New York | |
| 2067348 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7571 State Route 54,
Bath, New York |
| Zip: | 14810-9504 |
| Phone Number: | 607-776-8500 |
| Fax Number: | 607-776-8817 |
Patients can reach Ira Davenport Memorial Hospital Inc at
7571 State Route 54, Bath, New York or can
call on customer care at 607-776-8500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.