Active NPI
Connectrx Latham, LLC
- Community/Retail Pharmacy
- Latham, NY
National Provider Identifier
1225793151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CONNECTRX LATHAM, LLC
- Practice address
- 6 Wellness Way Ste 104
Latham, NY 12110-2156 - Phone
- (518) 313-1016
- Fax
- (518) 313-0790
- NPI assigned
- Nov 4, 2021
- Last updated
- Apr 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Marie Hotaling, R.PH.
- Title
- Director
- Phone
- (518) 273-1402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
6 Wellness Way Ste 104
Latham, NY 12110-2156
Mailing address
711 Troy Schenectady Rd Ste 109
Latham, NY 12110-2454
Phone (518) 313-1016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220608001433 | NY | Part B Supplier - Pharmacy | 1052799707 | Practice locations: Latham, NY |
| O20220707000243 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1052799707 | Practice locations: Latham, NY |
| O20250522000901 | NY | DME Supplier - Pharmacy | 1052799707 | Practice locations: Latham, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Connectrx Latham LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mail Order Pharmacy
- Latham, NY
- NPI 1023997798
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Latham, NY
- NPI 1821819293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1225793151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 109",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102454",
"telephone_number": "518-313-1016",
"fax_number": "518-313-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 104",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-313-1016",
"fax_number": "518-313-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTRX LATHAM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "HOTALING",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "518-273-1402",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
- Community Care Physicians, PLLC (Troy Family Physicians of Community Care Physicians)
- Community Care Physicians, PLLC
- Comprehensive MRI of New York, P.C. (Capital Region Upright MRI)
- Stephanie Connally, PT
- Connectrx Latham, LLC
- Patricia Anne Connolly, R.N.
- Carey Ann Ruth Connors, M.S. CCC - SLP
- Sean Austin Connors, PHARMD, RPH
- Christina Contento Goo, LCSW
- Stephen J Conway, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.