Individual provider Active NPI

Jamie Patrick Camardello, PHARMD

  • Pharmacist
  • Glens Falls, NY
National Provider Identifier
1245415025
Registry record updated Dec 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050303 Issued in NY
Practice address
10 Broad St
Glens Falls, NY 12801-4327
Phone
(518) 792-1131
Fax
(518) 792-7178
NPI assigned
Dec 30, 2007
Last updated
Dec 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050303 NY Primary

Addresses

Primary practice location

10 Broad St
Glens Falls, NY 12801-4327

Mailing address

18 Nelson Ave
Saratoga Springs, NY 12866-5220
Phone (617) 721-9669

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
050303NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1198972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198972800000",
    "number": "1245415025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NELSON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665220",
            "telephone_number": "617-721-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014327",
            "telephone_number": "518-792-1131",
            "fax_number": "518-792-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARDELLO",
        "first_name": "JAMIE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-30",
        "last_updated": "2007-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2007; 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.