FORTEEN STAR ENTERPRISES INC (NPI# 1386031334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386031334 |
| Entity Type | Organization |
| Organization Name | FORTEEN STAR ENTERPRISES INC |
| Other Organization Name | CENTRAL AVE PHARMACY |
| Practice Address |
65 Central Ave Albany NY 12206-3054 |
| Mailing Address |
346 Central Ave Albany NY 12206-2347 |
| Practice Telephone | 5186217748 |
| Practice Fax Number | 5186217118 |
| Mailing Telephone | 5186217748 |
| Mailing Fax Number | 5186217118 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | DR. SARAH WALTON (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 5186217748 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 033537 | NY | Suppliers |
| Other Name | Type Code |
|---|---|
| CENTRAL AVE PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | FORTEEN STAR ENTERPRISES INC | 644 MAPLE LANE , SCHENECTADY, NEW YORK 12309 |
| Street Address |
65 CENTRAL AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457837296 | Pack Pharmacy LLC | Pharmacy | 253 E Oglethorpe Blvd, Albany, GA 31705-2705 | 2018-07-16 |
| 1932524808 | Loudonville Pharmacy LLC | Pharmacy | 265 Osborne Rd, Albany, NY 12211-1879 | 2014-02-28 |
| 1134556764 | Phyllis K. Curry L.L.C. | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2013-09-27 |
| 1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
| 1033362314 | South Albany Pharmacy | Pharmacy | 1310 Newton Rd, Albany, GA 31701-3480 | 2008-10-30 |
| 1912178294 | Johns Pharmacy In Albany LLC | Pharmacy | 29148 South Montpelier Ave, Albany, LA 70711 | 2008-03-14 |
| 1154414514 | Southern Family Markets LLC | Pharmacy | 2826 Meredyth Dr, Albany, GA 31707-0208 | 2006-09-30 |
| 1417052846 | Ccrx of New York, LLC | Pharmacy | 431 New Karner Rd, Albany, NY 12205-3868 | 2006-09-13 |
| 1699887604 | Hrx Ltd | Pharmacy | 1333 Clay St Se, Albany, OR 97322-6868 | 2006-08-31 |
| 1396859369 | Tlc Drugs | Pharmacy | 523 7th Ave, Albany, GA 31701-1921 | 2006-08-18 |
| Find all providers in ALBANY | ||||
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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.