MRS. DIANE LYNN DESORBO (NPI# 1710145545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710145545 |
| Entity Type | Individual |
| Full Name | MRS. DIANE LYNN DESORBO |
| Credential | RPH |
| Practice Address |
16 Walker Way Albany NY 12205-4995 |
| Practice Telephone | 5184527795 |
| Practice Fax Number | 5184524494 |
| Mailing Telephone | 5184527795 |
| Mailing Fax Number | 5184524494 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 040862 | NY | Pharmacy Service Providers |
| Street Address |
16 WALKER WAY |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-4995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952472 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2005-09-16 |
| 1467904532 | Alexander Harmuth | Pharmacist | 16 Walker Way, Albany, NY 12205-4998 | 2016-10-25 |
| 1366765836 | Jill A. Ltaif | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-03-11 |
| 1629391339 | Lorraine Ann Herkenham | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-03-09 |
| 1497078737 | Andrea Lena Beers | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-03-01 |
| 1023330255 | Stephen L Jette | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-15 |
| 1942532510 | Kelly Lynn Flynn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-08 |
| 1245562974 | Nancy C Baughn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-05 |
| 1790012722 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2009-11-12 |
| 1982931911 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2009-11-12 |
| Find all providers in the same location | ||||
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1649889726 | Christopher John Moorvartian | Pharmacist | 881 Meadow Ct Ne, Albany, OR 97322-3501 | 2020-07-24 |
| 1639792930 | Cadesia Gail Irvin | Pharmacist | 304 Virginia Ave, Albany, GA 31705-4548 | 2020-05-20 |
| 1326669300 | Thuha T Nguyen | Pharmacist | 2414 Sylvester Hwy, Albany, GA 31705-2469 | 2020-05-01 |
| 1205462462 | Laura Dunn-mahar | Pharmacist | 153 Central Ave Ste 1, Albany, NY 12206-2941 | 2020-03-19 |
| 1275178576 | Ccpb | Pharmacist | 903 N Cross St, Albany, KY 42602-1617 | 2019-11-10 |
| 1801430624 | Robert Joseph Esponge IIi | Pharmacist | 29148 S Montpelier Rd, Albany, LA 70711-4320 | 2019-11-05 |
| 1275038721 | Nicholas Bowen | Pharmacist | 728 Madison Ave # B1, Albany, NY 12208-3302 | 2018-03-27 |
| 1275045965 | Kyung Oh | Pharmacist | 713 Spokane Ave, Albany, CA 94706-1710 | 2017-11-02 |
| 1346759669 | Stephanie Tchen | Pharmacist | 315 S. Manning Blvd, Albany, NY 12208 | 2017-09-29 |
| 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.