FALLON WELLNESS PHARMACY – NPI #1215077532
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Health Care Provider Taxonomy Code for Pharmacy

FALLON WELLNESS PHARMACY is a pharmacy located in LATHAM, NY. NPPES has assigned the NPI number 1215077532 to FALLON WELLNESS PHARMACY on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FALLON WELLNESS PHARMACY below.

NPI Profile for
FALLON WELLNESS PHARMACY

NPI Number
1215077532
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FALLON WELLNESS PHARMACY
Primary location
1057 TROY SCHENECTADY RD
LATHAM, NY 12110-1002
Phone: (518) 220-2005 Fax: (518) 220-5004
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETER FALLON
PHARMACIST
Phone: (518) 220-2005
Updated
Identifiers

Identifiers for FALLON WELLNESS PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02443983
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)		 NY 026112

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.