Active NPI
Jennifer Dong Waldron, PHARM.D.
- Pharmacist
- Latham, NY
National Provider Identifier
1902050610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00052170
- Practice address
- 873 New Loudon Rd
Latham, NY 12110-2150 - Phone
- (518) 782-0227
- NPI assigned
- Nov 7, 2008
- Last updated
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 00052170 | NY | Primary |
Addresses
Primary practice location
873 New Loudon Rd
Latham, NY 12110-2150
Mailing address
27A Greensboro Blvd
Clifton Park, NY 12065-1214
Phone (518) 928-1998
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00052170 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golub Corporation | Past | Accepting new patients | |
| Golub Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1083727002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1902050610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27A GREENSBORO BLVD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651214",
"telephone_number": "518-928-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "873 NEW LOUDON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102150",
"telephone_number": "518-782-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "JENNIFER",
"middle_name": "DONG",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "00052170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.