Craig John Coffenberg, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

053097-1 Issued in NY

Practice address

34 Congress St
Saratoga Springs, NY 12866-4120

Phone

(518) 587-3098

Fax

(518) 587-4925

NPI assigned

Feb 28, 2010

Last updated

Feb 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267315200000",
    "number": "1861714164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 SKYLINE DR",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120533930",
            "telephone_number": "518-505-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CONGRESS ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664120",
            "telephone_number": "518-587-3098",
            "fax_number": "518-587-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFENBERG",
        "first_name": "CRAIG",
        "middle_name": "JOHN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-28",
        "last_updated": "2010-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053097-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH27136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; 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.