Middletown LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MIDDLETOWN LTC PHARMACY LLC

Doing business as

Hudson Regional LTC Pharmacy

Practice address

280 Route 211 E
Suite 112
Middletown, NY 10940-3109

Phone

(845) 341-2700

Fax

(845) 341-2715

NPI assigned

May 18, 2016

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mayur Patel

Title

Member

Phone

(845) 341-2700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hudson Regional LTC Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelo Joseph Angerame, R.PH.

  • Pharmacist
  • Middletown, NY
  • NPI 1437146396
  NPD
• Abhishek Patel, PHARM.D.

  • Pharmacist
  • Liberty, NY
  • NPI 1407142060
  NPD
• Yourie Floriant

  • Pharmacist
  • Middletown, NY
  • NPI 1245945336
  NPD (past)
• Joon Ji

  • Pharmacist
  • Middletown, NY
  • NPI 1851858658
  NPD (past)
• Joanna Theresa Wallace, PHARMD

  • Pharmacist
  • Middletown, NY
  • NPI 1093117988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063869238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ROUTE 211 E",
            "address_2": "SUITE 112",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403109",
            "telephone_number": "845-341-2700",
            "fax_number": "845-341-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ROUTE 211 E",
            "address_2": "SUITE 112",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403109",
            "telephone_number": "845-341-2700",
            "fax_number": "845-341-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2023-03-07",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYUR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-341-2700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "034715",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04585449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Regional LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Middletown, NY
• Providers in Middletown, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.