Individual provider Active NPI

Jasmine Noelle Labarge

  • Pharmacist
  • Walden, NY
National Provider Identifier
1215524525
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069178 Issued in NY
Practice address
78 Oak St
Walden, NY 12586-1076
Phone
(845) 778-1388
NPI assigned
Dec 22, 2020
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHCY-01111 NH
Pharmacist 183500000X 033.0134445 VT
Pharmacist 183500000X 069178 NY Primary

Addresses

Primary practice location

78 Oak St
Walden, NY 12586-1076

Mailing address

78 Oak St
Walden, NY 12586-1076
Phone (845) 778-1388

Other practice location 1

213 Main St
Ludlow, VT 05149-1009
Phone (802) 228-8477

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

LicenseStateTypeSpecialty
PHCY-01111NHMDPharmacist
069178NYMDPharmacist
033.0134445VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thruway Pharmacy, Inc. PastSince Jun 15, 2025 Accepting new patients

Organizations & group practices 1

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1215524525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OAK ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861076",
            "telephone_number": "845-778-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OAK ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861076",
            "telephone_number": "845-778-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Main St",
            "address_purpose": "LOCATION",
            "city": "Ludlow",
            "state": "VT",
            "postal_code": "051491009",
            "country_code": "US",
            "telephone_number": "802-228-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABARGE",
        "first_name": "JASMINE",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-01111",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0134445",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.