David Otto Lange, BS

Primary specialty

PharmacistTaxonomy code 183500000X

License

040252 Issued in NY

Practice address

2205 Nott St
Niskayuna, NY 12309-4346

Phone

(518) 374-3324

Fax

(518) 374-3325

NPI assigned

Jun 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick H Lange, Inc

  • Long Term Care Pharmacy
  • Schenectady, NY
  • NPI 1164254702
  NPD
• Frederick H Lange, Inc

  • Pharmacy
  • Niskayuna, NY
  • NPI 1699852038
  NPD

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1114212255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NOTT ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094346",
            "telephone_number": "518-374-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NOTT ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094346",
            "telephone_number": "518-374-3324",
            "fax_number": "518-374-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "DAVID",
        "middle_name": "OTTO",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00536094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale Virginia Koskowski, MSED
• Marion B Kouzan, PT
• Tawfik M Kredan, MD
• Marina A Kristel, MS, CCC/SLP
• Tzigane Lajeunesse
• Sarah E Laplant, RPH
• Christina M Laronca, NP
• Sarah Dolan Lashway, FNP-BC
• Marcia Sue Lawton, LMHC
• Arthur Leder

• Pharmacist in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.