Drug Mart Tallman Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11154 Issued in NY

Legal business name

DRUG MART TALLMAN INC.

Practice address

214 Route 59
Suffern, NY 10901-5205

Phone

(845) 357-5200

Fax

(845) 357-0399

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ira GlotzerNPI 1821121161

Title

President

Phone

(845) 357-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drug Mart of Suffern Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira Burton Glotzer, RPH

  • Pharmacist
  • Suffern, NY
  • NPI 1821121161
  NPD Authorized official
• Bobby Ray Haas, PHARMD

  • Pharmacist
  • Suffern, NY
  • NPI 1124676085
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1073522264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015205",
            "telephone_number": "845-357-5200",
            "fax_number": "845-357-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015205",
            "telephone_number": "845-357-5200",
            "fax_number": "845-357-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG MART TALLMAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "GLOTZER",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-357-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "11154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00517377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Mart of Suffern",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drug Mart of Suffern",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Dorrian
• Louis Aster Doyle, RN
• Dr. Leo Rubin/Dr. Seymour Lutwak
• Janet Gertrude Drobes, LCSW
• DRS. J. Urcioli & P. Fagan
• Cindy-Lou Drummond, D.O.
• Jordan S. Dubow, MD
• Kelly Duesler
• Nicole V. Dugan, RN
• Julia Dugas, LPN

• Community/Retail Pharmacy in Suffern, NY
• Providers in Suffern, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.