NPIMap

Organization Active NPI

Glens Falls Hospital Inc

Doing business as Glens Falls Hospital Specialty Pharmacy

  • Community/Retail Pharmacy
  • Glens Falls, NY
National Provider Identifier
1336800135
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GLENS FALLS HOSPITAL INC
Doing business as
Glens Falls Hospital Specialty Pharmacy
Practice address
100 Park Street
Room T1002
Glens Falls, NY 12801
Phone
(518) 926-2580
Fax
(518) 926-2581
NPI assigned
Jan 4, 2022
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GLENS FALLS HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Ann Marie Hatch
Title
Sr. Director, Physician Practice
Phone
(518) 926-6988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

100 Park Street
Room T1002
Glens Falls, NY 12801

Mailing address

100 Park Street
Room T1002
Glens Falls, NY 12801
Phone (518) 926-2580

Other names 1

  • Glens Falls Hospital Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213001210 NY DME Supplier - Pharmacy 8325955974 Practice locations: Glens Falls, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Glens Falls Hospital Inc24 organizations share this tax ID, including this one
Part of
Glens Falls Hospital Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Park St
Rm T1002
Glens Falls, NY 12801
Phone (518) 852-4581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1336800135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "ROOM T1002",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-2580",
            "fax_number": "518-926-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "ROOM T1002",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-2580",
            "fax_number": "518-926-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENS FALLS HOSPITAL INC",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "SR. DIRECTOR, PHYSICIAN PRACTICE",
        "authorized_official_telephone_number": "518-926-6988"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glens Falls Hospital Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.