NPIMap

Organization Active NPI

Ellis Hospital

Doing business as Ellis Hospital McClellan St. Health Center

  • Long Term Care Pharmacy
  • Schenectady, NY
National Provider Identifier
1104279363
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
029032 Issued in NY
Legal business name
ELLIS HOSPITAL
Doing business as
Ellis Hospital McClellan St. Health Center
Practice address
600 McClellan St
Schenectady, NY 12304-1009
Phone
(518) 347-5315
Fax
(518) 382-2353
NPI assigned
Jul 22, 2016
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Michael Pasquarella
Title
Director of Pharmacy
Phone
(518) 243-1818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 029032 NY Primary

Addresses

Primary practice location

600 McClellan St
Schenectady, NY 12304-1009

Mailing address

600 McClellan St
Schenectady, NY 12304-1009
Phone (518) 347-5315

Other identifiers 1

IdentifierTypeStateIssuer
2160720OtherPK

Other names 1

  • Ellis Hospital McClellan St. Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peter F Weinberg MD37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1104279363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-347-5315",
            "fax_number": "518-382-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-347-5315",
            "fax_number": "518-382-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "PASQUARELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "518-243-1818"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "029032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis Hospital McClellan St. Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.