CCRX OF NEW YORK, LLC (NPI# 1417052846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417052846 |
Entity Type | Organization |
Organization Name | CCRX OF NEW YORK, LLC |
Other Organization Name | MTM PHARMACY SERVICES |
Practice Address |
431 New Karner Rd Albany NY 12205-3868 |
Mailing Address |
5775 Allentown Blvd Suite 101 Harrisburg PA 17112-4049 |
Practice Telephone | 5188622195 |
Practice Fax Number | 5188622199 |
Mailing Telephone | 7178101950 |
Mailing Fax Number | 7178101952 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. SCOTT D HABECKER (SECRETARY) |
Authorized Official Telephone | 7178101950 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | 027847 | NY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02749360 | 05 |
Other Name | Type Code |
---|---|
MTM Pharmacy Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083721104 | Ccrx of New York, LLC | Pharmacy | 84 Patrick Ln, Poughkeepsie, NY 12603-2936 | 2006-08-24 |
Street Address |
431 NEW KARNER RD |
City | ALBANY |
State | NY |
Zip Code | 12205-3868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356665632 | Cynthia Marie Gensler Baestlein | Pharmacist | 431 New Karner Rd, Albany, NY 12205-3868 | 2010-03-16 |
1548582968 | Michael David Caleo | Pharmacist | 431 New Karner Rd, Albany, NY 12205-3868 | 2010-02-26 |
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 | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457837296 | Pack Pharmacy LLC | Pharmacy | 253 E Oglethorpe Blvd, Albany, GA 31705-2705 | 2018-07-16 |
1932524808 | Loudonville Pharmacy LLC | Pharmacy | 265 Osborne Rd, Albany, NY 12211-1879 | 2014-02-28 |
1134556764 | Phyllis K. Curry L.L.C. | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2013-09-27 |
1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
1033362314 | South Albany Pharmacy | Pharmacy | 1310 Newton Rd, Albany, GA 31701-3480 | 2008-10-30 |
1912178294 | Johns Pharmacy In Albany LLC | Pharmacy | 29148 South Montpelier Ave, Albany, LA 70711 | 2008-03-14 |
1154414514 | Southern Family Markets LLC | Pharmacy | 2826 Meredyth Dr, Albany, GA 31707-0208 | 2006-09-30 |
1699887604 | Hrx Ltd | Pharmacy | 1333 Clay St Se, Albany, OR 97322-6868 | 2006-08-31 |
1396859369 | Tlc Drugs | Pharmacy | 523 7th Ave, Albany, GA 31701-1921 | 2006-08-18 |
1962515494 | Golub Corporation | Pharmacy | 1706 Western Ave, Albany, NY 12203-4484 | 2006-08-17 |
Find all providers in ALBANY |
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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.