Individual provider Active NPI

Kevin Daniel Valade, RPH

  • Pharmacist
  • Glenville, NY
National Provider Identifier
1255654943
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042206 Issued in NY
Practice address
257 Saratoga Rd.
Glenville, NY 12302
Phone
(518) 399-6351
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042206 NY Primary

Addresses

Primary practice location

257 Saratoga Rd.
Glenville, NY 12302

Mailing address

35 Roslyn Dr
Ballston Lake, NY 12019-9748
Phone (518) 399-3626

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042206NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1255654943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ROSLYN DR",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120199748",
            "telephone_number": "518-399-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SARATOGA RD.",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "12302",
            "telephone_number": "518-399-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADE",
        "first_name": "KEVIN",
        "middle_name": "DANIEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.