Individual provider Active NPI

Nathan Rokjer, PHARMD

  • Pharmacist
  • Glenmont, NY
National Provider Identifier
1013680891
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I066420-01 Issued in NY
Practice address
416 Route 9W
Glenmont, NY 12077-3327
Phone
(518) 462-5507
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I066420-01 NY Primary

Addresses

Primary practice location

416 Route 9W
Glenmont, NY 12077-3327

Mailing address

416 Route 9W
Glenmont, NY 12077-3327
Phone (518) 462-5507

Other names 1

  • Nathan Rokjer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pharmacy Health Information Exchange (HIE)

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
I066420-01NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC PastSince Aug 1, 2021 Accepting new patients
CVS Albany LLC PastSince Aug 1, 2021 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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1013680891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773327",
            "telephone_number": "518-462-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773327",
            "telephone_number": "518-462-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKJER",
        "first_name": "NATHAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I066420-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "416 Route 9W",
            "city": "Glenmont",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120773327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "ROKJER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.