NPIMap

Organization Active NPI

Pharmaceutic Labs

  • Community/Retail Pharmacy
  • Albany, NY
National Provider Identifier
1710420484
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033020 Issued in NY
Legal business name
PHARMACEUTIC LABS
Doing business as
Pharmaceutic Labs
Practice address
15 Walker Way
Albany, NY 12205-4945
Phone
(518) 608-1060
Fax
(518) 608-6109
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Ernesto Samuel
Title
Ceo
Phone
(518) 608-1060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 033020 NY Primary

Addresses

Primary practice location

15 Walker Way
Albany, NY 12205-4945

Mailing address

15 Walker Way
Albany, NY 12205-4945
Phone (518) 608-1060

Other identifiers 1

IdentifierTypeStateIssuer
2166396OtherPK

Other names 1

  • Pharmaceutic Labs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmaceutic Labs LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1710420484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALKER WAY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054945",
            "telephone_number": "518-608-1060",
            "fax_number": "518-608-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WALKER WAY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054945",
            "telephone_number": "518-608-1060",
            "fax_number": "518-608-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACEUTIC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-608-1060"
    },
    "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": "033020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmaceutic Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.