DR. JOSEPH PAUL HENDERSON (NPI# 1073836995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073836995 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH PAUL HENDERSON |
| Credential | PHARMD |
| Practice Address |
711 Troy Schenectady Rd Suite 108 Latham NY 12110-2442 |
| Mailing Address |
21 Cross Country Dr Baldwinsville NY 13027-9821 |
| Practice Telephone | 5187839440 |
| Mailing Telephone | 5182178468 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 054312 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427617455 | Joseph L Henderson Sr. | Home Health | 836 Broadway Ave Lowr Level, Bedford, OH 44146-3676 | 2019-06-12 |
| 1184990236 | Joseph Smith Henderson | Massage Therapist | 1013 Sw 2nd Ave, Gainesville, FL 32601-6167 | 2012-03-22 |
| 1639583578 | Joseph Van Someren Henderson | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2014-06-18 |
| 1902165830 | Joseph Henderson | Counselor | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2012-05-13 |
| 1992026181 | Joseph R Henderson II | Pediatrics | 5841 S Maryland Ave, Mc 4060, Chicago, IL 60637-1447 | 2010-06-22 |
| 1528200904 | Joseph Welles Henderson Iv | Obstetrics & Gynecology | 27100 Chardon Road, Suite 100, Richmond Heights, OH 44143 | 2009-03-31 |
| 1790963759 | Joseph Bernard Henderson | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-02-01 |
| 1275737553 | Joseph Alexander Henderson | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2007-06-12 |
| 1538292610 | Joseph S Henderson | Chiropractor | 1423 Powhatan St, Suite 7, Alexandria, VA 22314-1389 | 2007-03-14 |
| 1588620942 | Joseph Houston Henderson | Internal Medicine | 877 W Faris Rd, Ste B, Greenville, SC 29605-5608 | 2006-04-25 |
| Street Address |
711 TROY SCHENECTADY RD SUITE 108 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115157 | Junnong Tang | Physical Medicine & Rehabilitation | 711 Troy Schenectady Rd, Suite 207b, Latham, NY 12110-2442 | 2005-09-26 |
| 1841891678 | Sarah Evans | Physician Assistant | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2020-11-06 |
| 1598319881 | Raelyn Passino | Pharmacist | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2019-07-25 |
| 1720566623 | Lori A George | Counselor | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2018-08-02 |
| 1144760661 | Katharine Campbell | Occupational Therapist | 711 Troy Schenectady Rd, Suite 216, Latham, NY 12110 | 2017-03-02 |
| 1083157051 | Kyle Mckeighan | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-11-23 |
| 1356883052 | Diane Sweeney | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-11-11 |
| 1730630294 | Meghan T Brigham | Nurse Practitioner | 711 Troy Schenectady Rd, Suite 104, Latham, NY 12110-2442 | 2016-10-19 |
| 1720439243 | Ashley Crews | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-06-27 |
| 1639529712 | Michael Lynch | Radiology Practitioner Assistant | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2016-06-20 |
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| 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 |
| 1033393095 | Kathleen Ann Fama | Pharmacist | 933 Loudon Rd, Latham, NY 12110 | 2007-12-26 |
| 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 |
| 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.