Healthcare Provider Details

I. General information

NPI: 1588662977
Provider Name (Legal Business Name): MICHAEL P. KANE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 NEW SCOTLAND AVE ALBANY COLLEGE OF PHARMACY RM OB210C
ALBANY NY
12208-3425
US

IV. Provider business mailing address

31 MALLARD RD
GLENMONT NY
12077-4424
US

V. Phone/Fax

Practice location:
  • Phone: 518-445-7239
  • Fax: 518-445-7302
Mailing address:
  • Phone: 518-445-7239
  • Fax: 518-445-7302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6287
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number039073
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: