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CRESTWOOD HEALTH INC NPI 1215448857


NPI Information

NPI: 1215448857
Provider Name: CRESTWOOD HEALTH INC

Doing Business As: CRESTWOOD PHARMACY - LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 33D2209619

Address:
26 PICOTTE DR
ALBANY, NY
ZIP 12208
Phone: (518) 435-2315
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CRESTWOOD HEALTH INC is a long term care pharmacy pharmacy in Albany, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CRESTWOOD HEALTH INC NPI is 1215448857. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestwood Pharmacy - Ltc.

The provider's business location address is:

26 PICOTTE DR
ALBANY, NY
ZIP 12208-710
Phone: (518) 435-2315
Fax: (518) 435-2323

The provider's authorized official is Jagat J Patel .
The authorized official title is President and has the following contact phone number (518) 435-2315.

The CLIA number assigned to this NPI record is 33D2209619 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2017 and was last updated on 8/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy026944NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102630459MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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