Connectrx Clifton Park LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

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 12, 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

Locations

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1851975155",
    "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": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-30",
        "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": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• CVS Albany LLC

• All providers in Halfmoon, NY
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.