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Penn Traffic Company the

Community/Retail Pharmacy in Fulton, NY · enumerated 2006 · authorized official James Erba, Pharmacy Systems Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790706026

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Registry record

Entity type Organization (Type 2)
Legal business name Penn Traffic Company the
Other name <Unavail>
Practice address 2078 State Route 481, Fulton, NY, 13069
Fax (315) 592-4889
Enumeration date Jul 21, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers · License 022164 (NY) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name James Erba
Title Pharmacy Systems Manager

Other identifiers

Identifier Type State Issuer
01483843 Medicaid NY -
3348112 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Penn Traffic Company the located?
The practice location on file with NPPES is in Fulton, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.