Patrick William McCarthy, RPH
Individual provider Active NPI Pharmacist · Menands, NY
NPI 1255512166 · NPPES record last updated Nov 19, 2007
Key facts
- NPI
- 1255512166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 046990 (NY)
- Practice address
- 444 Broadway # a
Menands, NY 12204-2852 - Phone
- (518) 462-4233
- Fax
- (518) 626-0637
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Rite Aid of New York Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046990 | NY | Yes |
Addresses
Primary practice location
444 Broadway # a
Menands, NY 12204-2852
Mailing address
444 Broadway # a
Menands, NY 12204-2852
Phone (518) 462-4233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00538743 | Medicaid | NY |
Other providers in Menands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.