Provider Demographics
NPI:1619081833
Name:DUTCHESS CHEMISTS INC.
Entity Type:Organization
Organization Name:DUTCHESS CHEMISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:NANDIGAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-868-1010
Mailing Address - Street 1:6032 ROUTE 82
Mailing Address - Street 2:
Mailing Address - City:STANFORDVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12581
Mailing Address - Country:US
Mailing Address - Phone:845-868-1010
Mailing Address - Fax:845-868-1006
Practice Address - Street 1:6032 ROUTE 82
Practice Address - Street 2:
Practice Address - City:STANFORDVILLE
Practice Address - State:NY
Practice Address - Zip Code:12581-5953
Practice Address - Country:US
Practice Address - Phone:845-868-1010
Practice Address - Fax:845-868-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0270843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02616975Medicaid
NY02616975Medicaid