NPIMap

Organization Active NPI

Schenectady Cnty Glendl Nursing Fac

Doing business as Schenectady County Glendale Nursing Facility

  • Long Term Care Pharmacy
  • Scotia, NY
National Provider Identifier
1942246491
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
NY016813 Issued in NY
Legal business name
SCHENECTADY CNTY GLENDL NURSING FAC
Doing business as
Schenectady County Glendale Nursing Facility
Practice address
59 Hetcheltown Rd
Scotia, NY 12302-5506
Phone
(518) 384-3635
Fax
(518) 399-5732
NPI assigned
Jun 22, 2006
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
James PurcellNPI 1295059509
Title
Supervising Pharmacist
Phone
(518) 384-3635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X NY016813 NY Primary

Addresses

Primary practice location

59 Hetcheltown Rd
Scotia, NY 12302-5506

Mailing address

59 Hetcheltown Rd
Scotia, NY 12302-5506
Phone (518) 384-3635

Other identifiers 2

IdentifierTypeStateIssuer
2060818OtherPK
00473863MedicaidNY

Other names 1

  • SCHENECTADY COUNTY GLENDALE NURSING FACILITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Schenectady7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1942246491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 HETCHELTOWN RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123025506",
            "telephone_number": "518-384-3635",
            "fax_number": "518-399-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HETCHELTOWN RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123025506",
            "telephone_number": "518-384-3635",
            "fax_number": "518-399-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY CNTY GLENDL NURSING FAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "518-384-3635"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "NY016813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHENECTADY COUNTY GLENDALE NURSING FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.