Moden-Giroux INC
Pharmacy, Community/Retail Pharmacy in Middleport, NY. Organization (NPI-2).
NPI number1073602017
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1073602017
- Entity type
- Organization (NPI-2)
- Legal business name
- Moden-Giroux INC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2006
- Certification date
- May 19, 2026
- Last updated
- May 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 017837 | NY | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Other names
- Middleport Family Health Center (Doing Business As)
Practice location
81 Rochester RdMiddleport, NY 14105-9638
Phone 716-735-3261 · Fax 716-735-3351
Mailing address
Po Box 188Middleport, NY 14105-0188
Phone 716-735-3261 · Fax 716-735-3351
Authorized official
Zachary Giroux
Cfo
7162601131
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