# ELLIS HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellis Hospital McClellan St. Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104279363
- **Authorized official:** MICHAEL PASQUARELLA (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (518) 243-1818

## Contact information

- **Practice address:** 600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
- **Practice address phone:** (518) 347-5315
- **Practice address fax:** (518) 382-2353
- **Mailing address:** 600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
- **Mailing address phone:** (518) 347-5315
- **Mailing address fax:** (518) 382-2353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 029032 | NY | Yes |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 07/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160720 | PK | — |