Provider Demographics
NPI:1467483354
Name:PARKWAY DRUGS OF ONEIDA COUNTY INC
Entity Type:Organization
Organization Name:PARKWAY DRUGS OF ONEIDA COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIFFY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:315-792-4753
Mailing Address - Street 1:1256 ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-4252
Mailing Address - Country:US
Mailing Address - Phone:315-735-3525
Mailing Address - Fax:315-735-1688
Practice Address - Street 1:1256 ALBANY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4252
Practice Address - Country:US
Practice Address - Phone:315-735-3525
Practice Address - Fax:315-735-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00549335Medicaid
NY00549335Medicaid