Walden Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALDEN PHARMACY LLC

Doing business as

The Medicine Shoppe

Practice address

38 Grant St
Walden, NY 12586-1850

Phone

(845) 778-6661

Fax

(845) 778-6639

NPI assigned

Jun 9, 2015

Last updated

Nov 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vihang Patel

Title

Manager

Phone

(845) 778-6661

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe Doing business as

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1811378458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GRANT ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861850",
            "telephone_number": "845-778-6661",
            "fax_number": "845-778-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GRANT ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861850",
            "telephone_number": "845-778-6661",
            "fax_number": "845-778-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIHANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-778-6661"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04221050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmelina Ann Vivenzio
• Catherine M Wagner, D.C.
• Walden Ambulance Corp
• Walden Counseling Center
• Walden Medical, PLLC
• Catherine Grace Walker, MS, CCC-SLP
• Michael Lee Warren, CASAC
• Maureen Wassermann
• Rocky Lee Watkins
• Danielle Marie Webb, RN

• Community/Retail Pharmacy in Walden, NY
• Providers in Walden, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.