Active NPI
Steven Beattie
- Pharmacist
- Rotterdam, NY
National Provider Identifier
1104543016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069771
- Practice address
- 957 Curry Rd
Rotterdam, NY 12306-2909 - Phone
- (518) 356-6310
- NPI assigned
- Oct 21, 2022
- Last updated
- Dec 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 069771 | NY | Primary |
Addresses
Primary practice location
957 Curry Rd
Rotterdam, NY 12306-2909
Mailing address
44 Haig Ave
Wynantskill, NY 12198-8713
Phone (518) 268-8329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069771 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1104543016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 HAIG AVE",
"city": "WYNANTSKILL",
"state": "NY",
"postal_code": "121988713",
"telephone_number": "518-268-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 CURRY RD",
"city": "ROTTERDAM",
"state": "NY",
"postal_code": "123062909",
"telephone_number": "518-356-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTIE",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-21",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rotterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.