Fallonwellness Pharmacy of Saratoga

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

030166 Issued in NY

Legal business name

FALLONWELLNESS PHARMACY OF SARATOGA

Practice address

472 Broadway
Saratoga Springs, NY 12866-2212

Phone

(518) 306-5343

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Michael Lenz

Title

Partner/Supervising Pharmacist

Phone

(518) 306-5343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1225347149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 BROADWAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662212",
            "telephone_number": "518-306-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 BROADWAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662212",
            "telephone_number": "518-306-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLONWELLNESS PHARMACY OF SARATOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "518-306-5343"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "030166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Adult Day Care Center, Inc.
• Evolving Treatment Medical Services, PLLC
• Eye Care Specialists LLP
• Joseph Kenneth Fairley III, CP
• Oluwatoyin Damilola Fajobi, MD
• Family Vision Care Ophthalmic Dispensing LLC
• Saad M Farahat
• Arlene Farmer
• Umar Farooq, MD
• Mary E Farrell, AUDIOLOGIST

• Compounding Pharmacy in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.