GLENS FALLS HOSPITAL INC (NPI# 1619990991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619990991 |
| Entity Type | Organization |
| Organization Name | GLENS FALLS HOSPITAL INC |
| Other Organization Name | GLENS FALLS HOSPITAL OUTPATIENT PHARMACY |
| Practice Address |
100 Park St Outpatient Pharmacy Glens Falls NY 12801 |
| Mailing Address |
100 Park St Outpatient Pharmacy Glens Falls NY 12801-4413 |
| Practice Telephone | 5189262540 |
| Practice Fax Number | 5189262533 |
| Mailing Telephone | 5189262540 |
| Mailing Fax Number | 5189262533 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | MITCHELL AMADO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5189265113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 006069 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 3335800 | 01 | |
| NY | 00314998 | 05 |
| Other Name | Type Code |
|---|---|
| Glens Falls Hospital Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275881922 | Glens Falls Hospital Inc | Family Medicine | 213 Main Street, Salem Family Health Center, Salem, NY 12865-3121 | 2012-08-28 |
| 1376891317 | Glens Falls Hospital Inc | Internal Medicine | 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4789 | 2012-08-23 |
| 1861740813 | Glens Falls Hospital Inc | Neurological Surgery | 135 North Rd, The Medical Center At Wilton-specialty Suite, Wilton, NY 12831-1308 | 2012-08-23 |
| 1336497387 | Glens Falls Hospital Inc | Internal Medicine | 1134 State Route 29, Greenwich Regional Medical Center Specialty Suite, Greenwich, NY 12834-6107 | 2012-08-23 |
| 1518215565 | Glens Falls Hospital Inc | Otolaryngology | 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801-4363 | 2012-08-23 |
| 1548518582 | Glens Falls Hospital Inc | Family Medicine | 135 North Rd, Wilton Family Medicine, Wilton, NY 12831-1308 | 2012-08-23 |
| 1760730030 | Glens Falls Hospital Inc | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2012-08-17 |
| 1679821110 | Glens Falls Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 102 Park St, Center for Chest & Lung Surgery, Glens Falls, NY 12801-4403 | 2012-08-15 |
| 1598012015 | Glens Falls Hospital Inc | Family Medicine | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2012-08-15 |
| 1023365541 | Glens Falls Hospital Inc | Internal Medicine | 325 Main St, Hudson Falls Internal Medicine, Hudson Falls, NY 12839-1512 | 2012-08-15 |
| Street Address |
100 PARK ST OUTPATIENT PHARMACY |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035371 | Edward George Gyukeri Jr. | Specialist | 100 Park St, Glens Falls, NY 12801-4413 | 2005-07-05 |
| 1962009753 | Judith Mary Dalbey | Registered Nurse | 100 Park St, Glens Falls, NY 12801-4447 | 2020-10-05 |
| 1295342947 | Paige Elizabeth Howk | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2020-09-28 |
| 1437797586 | Wayne C Croyle | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2019-12-18 |
| 1386293074 | Shelby Faith Horn | Occupational Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2019-09-05 |
| 1457815011 | Jennifer Rowley Md Pllc | Internal Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2019-01-29 |
| 1710457866 | Kenneth Frank Dagles | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls, NY 12801-4447 | 2018-12-03 |
| 1619454592 | Cecilia D Hayes | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-24 |
| 1043796816 | Melody K Long | Physician Assistant | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-16 |
| 1861978710 | Aaron B Heckler | Physician Assistant | 100 Park St, Glens Falls, NY 12801-4413 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| 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 |
|---|---|---|---|---|
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1649453606 | Joseph Taylor Patterson | Pharmacist | 124 Ridge St., Glens Falls, NY 12801-0000 | 2007-12-13 |
| 1558542324 | Thomas P Connelly | Pharmacist | 677 Upper Glen St, Glens Falls, NY 12804-2014 | 2007-11-20 |
| 1922122951 | Sam Scuderi | Pharmacist | 128 Ridge St, Glens Falls, NY 12801-3219 | 2007-03-16 |
| 1477178614 | Cory Petretti | Pharmacist | 175 Broad St, Glens Falls, NY 12801-4119 | 2020-06-13 |
| 1003374331 | Jenna Lynne Mcgreevy | Pharmacist | 101 Ridge St, Glens Falls, NY 12801-3624 | 2019-03-05 |
| 1104391572 | Christina M Squillante | Pharmacist | 202 Broad St, Glens Falls, NY 12801-4146 | 2018-10-11 |
| 1124517859 | Sharon Geerts | Pharmacist | 100 Park St, Glens Falls, NY 12801-4447 | 2018-05-08 |
| 1427545300 | Leo C Mclaughlin | Pharmacist | 100 Park St, Glens Falls, NY 12801-4413 | 2018-04-17 |
| 1285131862 | Andrea Glogowski | Pharmacist | 100 Park St, Glens Falls, NY 12801-4447 | 2018-04-10 |
| Find all providers in GLENS FALLS | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.