Individual provider Active NPI

Marc Altschuld

  • Pharmacist
  • Spring Valley, NY
National Provider Identifier
1841723970
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
029792 Issued in NY
Practice address
45 Kennedy Dr
Spring Valley, NY 10977-5319
Phone
(845) 414-9966
NPI assigned
Apr 5, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 029792 NY Primary

Addresses

Primary practice location

45 Kennedy Dr
Spring Valley, NY 10977-5319

Mailing address

45 Kennedy Dr
Spring Valley, NY 10977-5319

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

State licenses

LicenseStateTypeSpecialty
029792NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amardesh Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1841723970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KENNEDY DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 KENNEDY DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775319",
            "telephone_number": "845-414-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTSCHULD",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.