CORAM HEALTHCARE CORPORATION OF NEW YORK (NPI# 1518979947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518979947 |
| Entity Type | Organization |
| Organization Name | CORAM HEALTHCARE CORPORATION OF NEW YORK |
| Practice Address |
12 Jupiter Ln Albany NY 12205-6918 |
| Mailing Address |
1675 Broadway Suite 900 Denver CO 80202-4675 |
| Practice Telephone | 5186892900 |
| Practice Fax Number | 5186892900 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | VITO PONZIO JR. (SR VP) |
| Authorized Official Telephone | 3036728631 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM HEALTHCARE CORPORATION OF NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 9694L001 | NY | Agencies |
| N | 251F00000X | Home Infusion | 9694L001 | NY | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
9694L001 | NY | Ambulatory Health Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
022519 | NY | Suppliers |
| N | 333600000X | Pharmacy | 022519 | NY | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
022519 | NY | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
022519 | NY | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
022519 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BC4470326 | 01 | |
| NY | 01573555 | 05 | |
| NCPDP | 3305047 | 01 | |
| NY | RX LICENSE | 022519 | 01 |
| NY | HOME HEALTH AGENCY | 9694L001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336287630 | Coram Healthcare Corporation of New York | Home Health | 1675 Broadway, Ste 900, Denver, CO 80202-4675 | 2007-02-01 |
| 1750462479 | Coram Healthcare Corporation of New York | Home Health | 2949 Erie Blvd E, Suite 103, Syracuse, NY 13224-1442 | 2006-10-18 |
| Street Address |
12 JUPITER LN |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-6918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748474 | Jacob Michael Leighton | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6919 | 2020-10-20 |
| 1639776230 | Melissa Mahoney | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6919 | 2020-10-06 |
| 1902296544 | Esther Chon | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2015-02-04 |
| 1902232390 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 12 Jupiter Ln, Albany, NY 12205-6918 | 2013-09-18 |
| 1922363050 | Michele Marie Skiba | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2012-07-04 |
| 1891071098 | Coram Healthcare Corporation of Greater New York | Durable Medical Equipment & Medical Supplies | 12 Jupiter Ln, Albany, NY 12205-6918 | 2011-11-01 |
| 1053699652 | Cameron R Luker | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6919 | 2011-07-30 |
| 1306168620 | David E Laporta | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2010-03-01 |
| 1780906818 | Pam A Krapin | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2010-02-16 |
| 1003138132 | Michael Peter Daprano | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2010-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417131012 | Bjk Inc | Pharmacy | 16 Walker Way, Albany, NY 12205-4995 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194874 | Cottrills Pharmacy Inc | Pharmacy | 4919 Ellicott Rd, Orchard Park, NY 14127-3357 | 2017-03-03 |
| 1477890861 | Global Pharmacy Inc | Pharmacy | 1910 South Rd Ste B, Poughkeepsie, NY 12601-6027 | 2013-01-07 |
| 1952433757 | Western New York Bloodcare, Inc. | Pharmacy | 1010 Main St Ste 300, Buffalo, NY 14202-1102 | 2007-03-09 |
| 1265596019 | Genesee Valley Group Health Association | Pharmacy | 535 Summit Point Dr, Suite #3, Henrietta, NY 14467-9606 | 2006-12-19 |
| 1538242953 | Pharmacy Solution Services LLC | Pharmacy | 140 Keyland Court Unit 28, Bohemia, NY 11716-2655 | 2006-10-21 |
| 1053408534 | Lake Erie Home Care, Inc. | Pharmacy | 5763 Seneca St, Elma, NY 14059-9800 | 2006-10-06 |
| 1679678049 | Americare Pharmaceutical Services,inc. | Pharmacy | 317 Nassau Blvd, Garden City, NY 11530-5313 | 2006-09-13 |
| 1598705386 | Empire Home Infusion Service Inc | Pharmacy | 10 Blacksmith Dr, Suite 2, Malta, NY 12020-4428 | 2006-06-08 |
| 1992777510 | Regioncare Inc. | Pharmacy | 200 Community Dr, Great Neck, NY 11021 | 2006-02-07 |
| 1689655359 | Town Total Nutrition Inc | Pharmacy | 6 E 32nd St Fl 5, New York, NY 10016-5422 | 2005-11-09 |
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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.