Stephen Michel Gagnon, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

053521 Issued in NY

Practice address

839 Route 146
Clifton Park, NY 12065-3861

Phone

(518) 371-3700

Fax

(518) 371-7103

NPI assigned

Mar 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany, L.L.C.

  • Pharmacy
  • Clifton Park, NY
  • NPI 1508969353
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1285956599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 VISCHER FERRY RD",
            "city": "REXFORD",
            "state": "NY",
            "postal_code": "121481620",
            "telephone_number": "518-727-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653861",
            "telephone_number": "518-371-3700",
            "fax_number": "518-371-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329605545",
            "country_code": "US",
            "telephone_number": "772-567-7136",
            "fax_number": "772-778-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "STEPHEN",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2022-12-12",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49622",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Fuschino
• Maria Fusco, DPT
• Nina Suzanne Fusco, OTR/L
• G Kirk Gleason, DDS, PC
• Vanessa J Gagne, FNP
• Salvatore J Galluzzo, DPM
• Madalynn Garone
• Lisa Christine Garrison, RPH
• Alexandra Nicole Gartner, AUD.
• Shenelle R. Gaston, M.D.

• All providers in Clifton Park, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.