Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ira Davenport Memorial Hospital Inc

Organization Pharmacy · NPI 1659312080

Ira Davenport Memorial Hospital Inc is a Pharmacy in Bath, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7571 State Route 54
Bath, NY 14810-9504
Phone: (607) 776-8500
Fax: (607) 776-8817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 014851 (NY)
Pharmacy Taxonomy 333600000X
Clinic Pharmacy Taxonomy 3336C0002X
Institutional Pharmacy Taxonomy 3336I0012X

Record details

NPI number1659312080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Lawrence — President & Chief Executive Officer · (607) 776-8500
Other names Ira Davenport Memorial Hospital Pharmacy; Ira Davenport Memorial Hospital Pharmacy
NPI enumeratedJune 9, 2006
Last updated in NPPESMarch 4, 2019
Mailing address7571 State Route 54, Bath, NY 14810-9504

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