Connectrx Clifton Park LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CONNECTRX CLIFTON PARK LLC

Practice address

1785 Route 9
Halfmoon, NY 12065

Phone

(518) 350-9900

Fax

(518) 350-9992

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Debra Marie Hotaling, R.PH.

Title

Director

Phone

(518) 350-9900

Specialties & licenses 1

Addresses

Other names 1

• CDPHP ConnectRx Doing business as

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1821662032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-350-9900",
            "fax_number": "518-350-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-350-9900",
            "fax_number": "518-350-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTRX CLIFTON PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "HOTALING",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-350-9900",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDPHP ConnectRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Care Physicians, PC
• Community Care Physicians, PC
• Community Care Physicians, PC
• Community Care Physicians, PC
• Community Care Physicians, PC
• Connectrx Clifton Park LLC
• Rachel Cooper
• Juliet Rose Coughlan, LMHC
• Kirsten Marie Coyne, FNP
• Leslie Croissant

• All providers in Halfmoon, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.