NPIMap

Organization Active NPI

Crestwood Health Inc

Doing business as Crestwood Pharmacy - LTC

  • Long Term Care Pharmacy
  • Albany, NY
National Provider Identifier
1215448857
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
026944 Issued in NY
Legal business name
CRESTWOOD HEALTH INC
Doing business as
Crestwood Pharmacy - LTC
Practice address
26 Picotte Dr
Albany, NY 12208-1710
Phone
(518) 435-2315
Fax
(518) 435-2323
NPI assigned
Oct 23, 2017
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CRESTWOOD HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Jagat J Patel, PHARMDNPI 1427373729
Title
President
Phone
(518) 435-2315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 026944 NY Primary

Addresses

Primary practice location

26 Picotte Dr
Albany, NY 12208-1710

Mailing address

26 Picotte Dr
Albany, NY 12208-1710
Phone (518) 435-2315

Other identifiers 1

IdentifierTypeStateIssuer
02630459MedicaidNY

Other names 1

  • Crestwood Pharmacy - LTC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@crestwoodrx.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Crestwood Health Inc2 organizations share this tax ID, including this one
Part of
Crestwood Health Inc

Other organizations with this tax ID 1

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

Locations

26 Picotte Dr
Albany, NY 12208
Phone (518) 435-2315

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1215448857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PICOTTE DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081710",
            "telephone_number": "518-435-2315",
            "fax_number": "518-435-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PICOTTE DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081710",
            "telephone_number": "518-435-2315",
            "fax_number": "518-435-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRESTWOOD HEALTH INC",
        "enumeration_date": "2017-10-23",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGAT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-435-2315",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "026944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02630459",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@crestwoodrx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 Picotte Dr",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crestwood Pharmacy - LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.