Watervliet Pharmacy Acquisition, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

WATERVLIET PHARMACY ACQUISITION, LLC

Doing business as

ConnectRx Hometown

Practice address

601 19TH Street
Watervliet, NY 12189-2002

Phone

(518) 273-1402

Fax

(518) 687-0672

NPI assigned

Sep 18, 2020

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) 273-1402

Specialties & licenses 1

Addresses

Other names 1

• ConnectRx Hometown Doing business as

Locations

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1851907513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 19TH ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892002",
            "telephone_number": "518-273-1402",
            "fax_number": "518-687-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 19TH STREET",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892002",
            "telephone_number": "518-273-1402",
            "fax_number": "518-687-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVLIET PHARMACY ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "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": "518-273-1402",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ConnectRx Hometown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonid Vovna, PHARM. D.
• Laurie Jean Wade
• Walgreen Co
• Watervliet City School District
• Watervliet Pharmacy Acquisition, LLC
• Whitney M Young Jr. Health Center, Inc
• Whitney M. Young, Jr. Health Center, Inc.
• Eileen Frances Wood, R.PH.

• Mail Order Pharmacy in Watervliet, NY
• Providers in Watervliet, NY by specialty
• Mail Order Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.