Condo Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CONDO PHARMACY INC

Doing business as

Condo Pharmacy LTC

Practice address

28 Montcalm Ave
Plattsburgh, NY 12901-1533

Phone

(518) 563-3400

Fax

(518) 563-5946

NPI assigned

Nov 19, 2019

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

CONDO PHARMACY, INCAs reported in NPPES

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

Authorized official

Name

Dr. Steven F Moore, PHARMDNPI 1730177817

Title

VP

Phone

(518) 563-3400

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Condo Pharmacy LTC Doing business as

Tax ID family

Condo Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Condo Pharmacy Inc

Other organizations with this tax ID 1

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

• Condo Pharmacy, Inc

  dba Condo Pharmacy

  • Mail Order Pharmacy
  • Plattsburgh, NY
  • NPI 1558181800
  NPD tax ID

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.

• Steven F Moore, PHARM D.

  • Pharmacist
  • Plattsburgh, NY
  • NPI 1730177817
  Authorized official Same address or phone

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1386280931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MONTCALM AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011533",
            "telephone_number": "518-563-3400",
            "fax_number": "518-563-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MONTCALM AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011533",
            "telephone_number": "518-563-3400",
            "fax_number": "518-563-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDO PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONDO PHARMACY, INC",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "518-563-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02785835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Condo Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Collins, LPN
• Jane Elizabeth Colquhoun, LCSWR
• Laurel E Colvin, FNP-C
• Jaclyn R Combes, PA
• Chelsey Annette Compeau, M.A. SLP
• Condo Pharmacy Inc (Condo Pharmacy)
• Condo Pharmacy, Inc (Condo Pharmacy)
• Conifer Park, Inc.
• Jacquelyn Connelly, PH.D.
• Hannah Constanty, A-GNP-C

• Long Term Care Pharmacy in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.