1972737427 NPI number — MR. GERALD MICHAEL ENGEL B.S. PHARMACY

Table of content: MR. GERALD MICHAEL ENGEL B.S. PHARMACY (NPI 1972737427)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972737427 NPI number — MR. GERALD MICHAEL ENGEL B.S. PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ENGEL
Provider First Name:
GERALD
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
B.S. PHARMACY
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972737427
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 CATHYWOOD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLIFTON PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12065-8728
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-383-4004
Provider Business Mailing Address Fax Number:
518-486-4303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 HOLLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12208-3411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-474-7720
Provider Business Practice Location Address Fax Number:
518-486-4303
Provider Enumeration Date:
05/13/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  037423 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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