Individual provider Active NPI

Haroutioun Kalaidjian, RPH

  • Pharmacist
  • Catskill, NY
National Provider Identifier
1124271119
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052490 Issued in NY
Practice address
19 Central Ave
Catskill, NY 12414-1746
Phone
(518) 943-4182
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052490 NY Primary

Addresses

Primary practice location

19 Central Ave
Catskill, NY 12414-1746

Mailing address

20 W Palisade Ave
Apt 3202
Englewood, NJ 07631-2717

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
052490NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jan 28, 2024 Accepting new patients
Walgreen Co PastSince Jan 28, 2024 Accepting new patients

Locations

19 Central Ave
Catskill, NY 12414
Phone (518) 943-4182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1124271119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PALISADE AVE",
            "address_2": "APT 3202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CENTRAL AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141746",
            "telephone_number": "518-943-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAIDJIAN",
        "first_name": "HAROUTIOUN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.