PHARMACEUTIC LABS, LLC (NPI# 1366843476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366843476 |
| Entity Type | Organization |
| Organization Name | PHARMACEUTIC LABS, LLC |
| Practice Address |
15 Walker Way Albany NY 12205-4945 |
| Practice Telephone | 5186081060 |
| Practice Fax Number | 5186086109 |
| Mailing Telephone | 5186081060 |
| Mailing Fax Number | 5186086109 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-05-13 |
| NPI Deactivation Date | 09/16/2014 |
| NPI Reactivation Date | 2015-05-13 |
| Authorized Official Name | SAMANTHA MATTISON (PHARMACIST) |
| Authorized Official Telephone | 5186081060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 059848 | NY | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Pharmaceutic Labs, LLC | Corporation Service Company, 2711 Centerville Road Ste 400, Wilmington, DE 19808 |
| Vermont Business Registrations | PHARMACEUTIC LABS, LLC | 15 Walker Way, Albany, NY 12205 |
| Oregon Corporations, Companies and Business Names | PHARMACEUTIC LABS, LLC | 15 Walker Way, Albany, NY 12205 |
| Washington State Corporations | PHARMACEUTIC LABS, LLC | 15 Walker Way, Albany, NY 12205 |
| Massachusetts Corporations | PHARMACEUTIC LABS, LLC | 15 Walker Way, Albany, NY 12205 |
| Street Address |
15 WALKER WAY |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710420484 | Pharmaceutic Labs | Pharmacy | 15 Walker Way, Albany, NY 12205-4945 | 2016-11-29 |
| 1639559073 | Ernesto Samuel | Pharmacist | 15 Walker Way, Albany, NY 12205 | 2015-06-01 |
| 1841678000 | Pharmaceutic Labs, LLC. | Pharmacy | 15 Walker Way, Albany, NY 12205-4945 | 2015-05-08 |
| 1841691433 | Samantha Mattison | Pharmacist | 15 Walker Way, Albany, NY 12205-4945 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565045 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1711 E Broad Ave, Albany, GA 31705-2311 | 2018-10-25 |
| 1568784056 | Albany Area Primary Health Care, Inc. | Clinical Medical Laboratory | 1711 E. Broad Avenue, Albany, GA 31705-2311 | 2010-02-24 |
| 1942449301 | Any Drug Test, LLC | Clinical Medical Laboratory | 2531 Lafayette Plaza Dr, Suite D, Albany, GA 31707-2226 | 2009-02-09 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1073637740 | Albany Pathology Associates PC | Clinical Medical Laboratory | 1907 Palmyra Rd, Albany, GA 31701-1574 | 2007-03-19 |
| 1467529909 | Sleeping Matters | Clinical Medical Laboratory | 413 2nd Ave Sw, Albany, OR 97321-2236 | 2006-11-29 |
| 1518356435 | Premiertox 2 0 Inc | Clinical Medical Laboratory | 106 N Cross St, Albany, KY 42602-1416 | 2015-01-15 |
| 1700204641 | Albany Medical Center Hospital | Clinical Medical Laboratory | 1365 Washington Ave, Albany, NY 12206-1098 | 2014-03-28 |
| 1114344835 | Labone of Ohio Inc | Clinical Medical Laboratory | 127 Foothills Ave, Albany, KY 42602-1090 | 2014-03-19 |
| 1417210246 | Nexus Lab 2.0 LLC | Clinical Medical Laboratory | 106 N Cross St, Albany, KY 42602-1416 | 2012-06-18 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on PHARMACEUTIC LABS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.