Hudson Valley LTC Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

028350 Issued in NY

Legal business name

HUDSON VALLEY LTC PHARMACY INC

Doing business as

Hudson Valley LTC Pharmacy Inc

Practice address

105 Ward St Ste a
Montgomery, NY 12549-1150

Phone

(845) 457-5040

Fax

(845) 457-5085

NPI assigned

Jan 15, 2008

Last updated

Oct 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Cardillo

Title

VP

Phone

(845) 457-5040

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HUDSON VALLEY LTC PHARMACY INC Doing business as

Locations

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.

• Diane Leung-Diliberto, RPH

  • Pharmacist
  • Montgomery, NY
  • NPI 1831416486
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1508042086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARD ST STE A",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491150",
            "telephone_number": "845-457-5040",
            "fax_number": "845-457-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARD ST STE A",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491150",
            "telephone_number": "845-457-5040",
            "fax_number": "845-457-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY LTC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "845-457-5040"
    },
    "taxonomies": [
        {
            "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": "NY",
            "license": "028350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3357286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02949948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUDSON VALLEY LTC PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Susan Helgeson, O.D.
• Luce Shirley Henry-Saturne-Stephens, FNP
• Francine Mira Hertz, LMSW
• Stacy Hosier
• Alexandria Danielle Howard, MD
• Inner Well Mental Health Counseling PLLC
• Angelita Jackson
• Pierre Janvier
• Michael Robert Jennings
• Sonia S John, PHARMD

• Long Term Care Pharmacy in Montgomery, NY
• Providers in Montgomery, 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 Oct 14, 2010; 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.