Individual provider Active NPI

Roxan Plunkett, RPH

  • Pharmacist
  • Lagrangeville, NY
National Provider Identifier
1013189760
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047566-1 Issued in NY
Practice address
1643 Route 82
Lagrangeville, NY 12540-6039
Phone
(845) 227-3741
Fax
(845) 227-7908
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047566-1 NY Primary

Addresses

Primary practice location

1643 Route 82
Lagrangeville, NY 12540-6039

Mailing address

126 Sleight Plass Rd
Poughkeepsie, NY 12603-6130

Other identifiers 1

IdentifierTypeStateIssuer
047566-1OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
047566-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Atlantic & Pacific Tea Company Inc Past Accepting new patients
Great Atlantic & Pacific Tea Company Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1013189760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SLEIGHT PLASS RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 ROUTE 82",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406039",
            "telephone_number": "845-227-3741",
            "fax_number": "845-227-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNKETT",
        "first_name": "ROXAN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047566-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "047566-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.