Organization Active NPI

Frederick H Lange, Inc

Doing business as Langes Pharmacy

  • Pharmacy
  • Niskayuna, NY
National Provider Identifier
1699852038
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
017708 Issued in NY
Legal business name
FREDERICK H LANGE, INC
Doing business as
Langes Pharmacy
Practice address
2205 Nott St
Niskayuna, NY 12309-4346
Phone
(518) 374-3324
Fax
(518) 374-3325
NPI assigned
Nov 1, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mr. Daniel Thomas Lange, RPH
Title
President
Phone
(518) 374-3324

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 017708 NY Primary

Addresses

Primary practice location

2205 Nott St
Niskayuna, NY 12309-4346

Mailing address

2205 Nott St
Niskayuna, NY 12309-4346
Phone (518) 374-3324

Other names 1

  • Langes Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208000596 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6507163102 Practice locations: Schenectady, NY

National Provider Directory

National Provider Directory

Locations

2205 Nott St
Schenectady, NY 12309
Phone (518) 374-3324

2205 Nott St
Ste 1
Schenectady, NY 12309
Phone (518) 374-3324

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1699852038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NOTT ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094346",
            "telephone_number": "518-374-3324",
            "fax_number": "518-374-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NOTT ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094346",
            "telephone_number": "518-374-3324",
            "fax_number": "518-374-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK H LANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-374-3324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "017708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langes Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.