CONDO PHARMACY LTC - NPI 1386280931 - Pharmacy in Plattsburgh, NY

Q: What is Condo Pharmacy Inc's NPI number?

The NPI number for Condo Pharmacy Inc is 1386280931. It was assigned to this organization in the NPPES registry on November 19, 2019. The provider is doing business as Condo Pharmacy Ltc.

Q: What is Condo Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

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About Condo Pharmacy Ltc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONDO PHARMACY LTC (NPI 1386280931) is a healthcare organization registered as a long term care pharmacy in Plattsburgh, New York and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Steven F Moore, Vp, as its authorized official.

NPPES Registry Identity

NPI1386280931

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameCONDO PHARMACY INC

Location Address28 MONTCALM AVEPlattsburgh, NY 12901-1533

Mailing Address28 Montcalm AvePlattsburgh, NY 12901-1533 · (518) 563-3400 · Fax (518) 563-5946

Phone(518) 563-3400

Fax(518) 563-5946

Organization SubpartYesParent: Condo Pharmacy, Inc

Authorized OfficialSteven F MooreVp · (518) 563-3400

Enumeration DateNovember 19, 2019

Last NPPES UpdateJanuary 2, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1386280931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

28 MONTCALM AVE, Plattsburgh, NY 12901

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Other Names 1

Doing Business AsCondo Pharmacy Ltc

Other Identifiers 1

Medicaid02785835NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2187173

Condo Pharmacy · Plattsburgh, NY

Active · expires Mar 26, 2027

CLIA Number33D2187173

Laboratory TypePharmacy

Certificate Effective DateJune 26, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Chester H. Fox

Laboratory Phone(518) 563-3400

Laboratory LocationCondo Pharmacy28 Montcalm Ave, Plattsburgh, NY 12901

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON HOWARD PHARM.D.

Pharmacist