Organization Active NPI

Mahakali Corporation

  • Community/Retail Pharmacy
  • Gloversville, NY
National Provider Identifier
1598026734
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031342 Issued in NY
Legal business name
MAHAKALI CORPORATION
Practice address
42 N Main St
Gloversville, NY 12078-3004
Phone
(518) 725-4400
Fax
(518) 725-4700
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Authorized official

Name
Hasmukhkumar Patel, RPHNPI 1831358399
Title
Supervisor
Phone
(518) 725-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031342 NY Primary

Addresses

Primary practice location

42 N Main St
Gloversville, NY 12078-3004

Mailing address

42 N Main St
Gloversville, NY 12078-3004
Phone (518) 725-4400

Other identifiers 1

IdentifierTypeStateIssuer
03490026MedicaidNY

Other names 1

  • Gloversville Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120913000130 NY DME Supplier - Pharmacy 6204084411 Practice locations: Gloversville, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Mahakali Corporation42 N Main St, Gloversville, NY 12078-3004(518) 725-4400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Suppli… Does not accept assignmentParticipating since Jun 25, 2012

National Provider Directory

National Provider Directory

Locations

42 N Main St
Gloversville, NY 12078
Phone (518) 725-4400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1598026734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783004",
            "telephone_number": "518-725-4400",
            "fax_number": "518-725-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783004",
            "telephone_number": "518-725-4400",
            "fax_number": "518-725-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAKALI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HASMUKHKUMAR",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "518-725-4400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03490026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloversville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gloversville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.