Forteen Star Enterprises Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

033537 Issued in NY

Legal business name

FORTEEN STAR ENTERPRISES INC

Practice address

65 Central Ave
Albany, NY 12206-3054

Phone

(518) 621-7748

Fax

(518) 621-7118

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Walton, PHARMDNPI 1326414210

Title

Director of Pharmacy Operations

Phone

(518) 621-7748

Specialties & licenses 2

Addresses

Other names 1

• CENTRAL AVE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Walton, PHARM D.

  • Pharmacist
  • Albany, NY
  • NPI 1326414210
  NPD Authorized official
• Haider M Syed, PHARMACIST

  • Pharmacist
  • New York, NY
  • NPI 1114093945
  NPD
• John Y Lee, RPH

  • Pharmacist
  • Palatine Bridge, NY
  • NPI 1982318705
  NPD (past)
• Ali Imran Raza, PHARMACIST

  • Pharmacist
  • Albany, NY
  • NPI 1659933364
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1386031334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062347",
            "telephone_number": "518-621-7748",
            "fax_number": "518-621-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122063054",
            "telephone_number": "518-621-7748",
            "fax_number": "518-621-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTEEN STAR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "518-621-7748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "033537",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL AVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL AVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayon Forrest-Gongasingh
• George P Forrest, MD
• Paul R Forrest, MD
• Peter W Forseth, CRNA
• Jennifer Lee Forster-Green, LCSW
• Cristina Fortier, PTA
• Julia Christina Fortin, SRNA
• Sheri Fortin, LMHC
• Marissa Fortman, OTR/L
• Corryn Fortune, LCSW

• Pharmacy in Albany, NY
• Providers in Albany, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.