Individual provider Active NPI

Laura Villegas, PHARMD

  • Pharmacist
  • Ellenville, NY
National Provider Identifier
1548501430
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I057791 Issued in NY
Practice address
101 Canal St
Ellenville, NY 12428-1400
Phone
(845) 647-6222
Fax
(845) 647-1558
NPI assigned
Mar 3, 2013
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I057791 NY Primary

Addresses

Primary practice location

101 Canal St
Ellenville, NY 12428-1400

Mailing address

101 Canal St
Ellenville, NY 12428-1403
Phone (845) 647-6222

Other names 1

  • Laura Schmalzle Former name

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
I057791NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews Pharmacy Inc. CurrentSince Apr 6, 2025 Accepting new patients
Matthews Pharmacy Inc. CurrentSince Aug 11, 2019 Accepting new patients

Locations

101 Canal St
Ellenville, NY 12428
Phone (845) 647-6222

Organizations & group practices 2

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": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1548501430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CANAL ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281403",
            "telephone_number": "845-647-6222",
            "fax_number": "845-647-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANAL ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281400",
            "telephone_number": "845-647-6222",
            "fax_number": "845-647-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I057791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SCHMALZLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.