Active NPI
Cheyenne Shade Lentz, PHARMACIST
- Pharmacist
- Rensselaer, NY
National Provider Identifier
1265268361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 071682
- Practice address
- 560 N Greenbush Rd
Rensselaer, NY 12144-9452 - Phone
- (518) 283-6982
- NPI assigned
- Sep 13, 2024
- Last updated
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071682 | NY | Primary |
Addresses
Primary practice location
560 N Greenbush Rd
Rensselaer, NY 12144-9452
Mailing address
29 Van Allen Way Apt 2921
Rensselaer, NY 12144-6443
Phone (518) 390-9041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071682 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1265268361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 VAN ALLEN WAY APT 2921",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121446443",
"telephone_number": "518-390-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 N GREENBUSH RD",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121449452",
"telephone_number": "518-283-6982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "CHEYENNE",
"middle_name": "SHADE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "071682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rensselaer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.