Maite Ascasibar

Individual provider Active NPI Pharmacist · Valatie, NY

NPI 1992987689 · NPPES record last updated Dec 4, 2007

Key facts

NPI
1992987689
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
045680-1 (NY)
Practice address
2982 Route 9
Valatie, NY 12184-2515
Phone
(518) 758-2200
Fax
(518) 758-2226
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
045680-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past Accepting new patients
CVS Albany, L.L.C Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045680-1 NY Yes

Addresses

Primary practice location

2982 Route 9
Valatie, NY 12184-2515

Mailing address

1 CVS Dr
Box 1075- Julie Giordano
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other providers in Valatie, NY

All providers in Valatie, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.