MR. KATHLEEN ANN FAMA (NPI# 1033393095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033393095 |
| Entity Type | Individual |
| Full Name | MR. KATHLEEN ANN FAMA |
| Credential | RPH |
| Practice Address |
933 Loudon Rd Latham NY 12110 |
| Mailing Address |
23 Baldwin Court Clifton Park NY 12065 |
| Practice Telephone | 5187831551 |
| Mailing Telephone | 5183830337 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 038074 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00483665 | 05 |
| Street Address |
933 LOUDON RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302049 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 933 Loudon Rd, Latham, NY 12110-2119 | 2017-08-18 |
| 1154507911 | Jean Ann Fuller | Pharmacist | 933 Loudon Rd, Latham, NY 12110-2119 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1427465228 | Nathanael Crachi | Pharmacist | 4 Hoefer St, Latham, NY 12110-4718 | 2014-07-14 |
| 1194005538 | Randy Rosette | Pharmacist | 30 Century Hill Drive, Blue Sheild, Latham, NY 12110 | 2011-08-17 |
| 1952625451 | Mary Moheb Habib | Pharmacist | 19 Citation Dr, Latham, NY 12110-1951 | 2010-03-26 |
| 1942487020 | Robert K Wind | Pharmacist | 584 Loudon Rd, Latham, NY 12110-4024 | 2008-01-30 |
| 1912183963 | Melissa Anne Ford | Pharmacist | 750 New Loudon Rd, Latham, NY 12110-4015 | 2008-01-20 |
| 1811180631 | Roland Macphee | Pharmacist | 1215 Troy Schenectady Rd, Latham, NY 12110-1007 | 2007-08-24 |
| 1790398956 | Alexandra Jean Mclaughlin | Pharmacist | 750 New Loudon Rd, Latham, NY 12110-4015 | 2020-08-27 |
| 1407483860 | Sara L Delvecchio | Pharmacist | 1057 Troy Schenectady Rd, Latham, NY 12110-1002 | 2020-03-25 |
| 1770064339 | Kateylyn Cecille Evans | Pharmacist | 24 Summit Ave, Latham, NY 12110-4116 | 2018-08-22 |
| Find all providers in LATHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.