Active NPI
Kyle Paul Caradori, PHARM.D.
- Pharmacist
- Saratoga Springs, NY
National Provider Identifier
1396087516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056870
- Practice address
- 90 West Ave
Saratoga Springs, NY 12866-6003 - Phone
- (518) 587-0721
- NPI assigned
- Mar 26, 2013
- Last updated
- Jan 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 056870 | NY | Primary |
Addresses
Primary practice location
90 West Ave
Saratoga Springs, NY 12866-6003
Mailing address
358 Malta Ave
Ballston Spa, NY 12020-4002
Phone (518) 577-7418
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056870 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610841600000",
"number": "1396087516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 MALTA AVE",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120204002",
"telephone_number": "518-577-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 WEST AVE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666003",
"telephone_number": "518-587-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARADORI",
"first_name": "KYLE",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.