Individual provider Active NPI

Dana Malia Villanueva, PHARMD

  • Pharmacist
  • Saratoga SPGS, NY
National Provider Identifier
1366764664
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052846 Issued in NY
Practice address
95 Weibel Ave
Saratoga SPGS, NY 12866-5328
Phone
(518) 587-0681
NPI assigned
Feb 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052846 NY Primary

Addresses

Primary practice location

95 Weibel Ave
Saratoga SPGS, NY 12866-5328

Mailing address

95 Weibel Ave
Saratoga SPGS, NY 12866-5328
Phone (518) 587-0681

Other practice location 1

12 S Central Ave
Mechanicville, NY 12118-1503
Phone (518) 664-6368

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
052846NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martins Foods of South Burlington LLC PastSince Apr 17, 2022 Accepting new patients
CVS Albany LLC Past Accepting new patients
Martin'S Foods of South Burlington, LLC PastSince Apr 17, 2022 Accepting new patients
CVS Albany LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1366764664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WEIBEL AVE",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128665328",
            "telephone_number": "518-587-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WEIBEL AVE",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128665328",
            "telephone_number": "518-587-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Mechanicville",
            "state": "NY",
            "postal_code": "121181503",
            "country_code": "US",
            "telephone_number": "518-664-6368",
            "fax_number": "518-664-3871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "DANA",
        "middle_name": "MALIA",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-28",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga SPGS, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.