# MARGARETVILLE MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932268307
- **Authorized official:** RANDALL MOORE (PHARMACY DIRECTOR)
- **Authorized official phone:** (845) 586-2631

## Contact information

- **Practice address:** 42084 STATE HWY RT 28, MARGARETVILLE, NY 12455
- **Practice address phone:** (845) 586-2631
- **Practice address fax:** (845) 586-2539
- **Mailing address:** 42084 STATE HWY RT 28, MARGARETVILLE, NY 12455
- **Mailing address phone:** (845) 586-2631
- **Mailing address fax:** (845) 586-2539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 016327 | NY | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 05/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00279387 | — | NY |
| 01 | — | 2060477 | PK | — |
| 05 | — | 330092 | — | NY |