Active NPI
Edward J Enos, R.PH.
- Pharmacist
- Albany, NY
National Provider Identifier
1770805038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036049-1
- Practice address
- 900 Watervliet Shaker Road
Suite 105
Albany, NY 12205 - Phone
- (518) 951-2440
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036049-1 | NY | Primary |
Addresses
Primary practice location
900 Watervliet Shaker Road
Suite 105
Albany, NY 12205
Mailing address
24 Cindy LN
Clifton Park, NY 12065-5660
Phone (518) 383-9070
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036049-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1770805038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CINDY LN",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655660",
"telephone_number": "518-383-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WATERVLIET SHAKER ROAD",
"address_2": "SUITE 105",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-951-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOS",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036049-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
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- Shannon Noriene Engwer, LMSW
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- Igor Epstein, D.O.
- Victoria Epstein, M.S., D.O.
- Erika Epting, LCSW-R
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.