Organization Active NPI

Airmont Pharmacy Inc.

  • Pharmacy
  • Airmont, NY
National Provider Identifier
1104783273
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
AIRMONT PHARMACY INC.
Practice address
214 Route 59
Airmont, NY 10901-5205
Phone
(845) 357-5200
Fax
(845) 357-0399
NPI assigned
Jan 8, 2026
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Bobby Ray Haas, PHARMDNPI 1124676085
Title
Owner/SP
Phone
(845) 825-9567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

214 Route 59
Airmont, NY 10901-5205

Mailing address

214 Route 59
Airmont, NY 10901-5205
Phone (845) 357-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260407002083 NY Part B Supplier - Pharmacy 0143795104 Practice locations: Suffern, NY
O20260513000603 NY DME Supplier - Pharmacy 0143795104 Practice locations: Suffern, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Airmont Pharmacy Inc.214 Route 59, Suffern, NY 10901-5205(845) 357-5200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 1, 2026

National Provider Directory

National Provider Directory

Locations

214 Route 59
Suffern, NY 10901
Phone (845) 357-4787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1104783273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ROUTE 59",
            "city": "AIRMONT",
            "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": "AIRMONT",
            "state": "NY",
            "postal_code": "109015205",
            "telephone_number": "845-357-5200",
            "fax_number": "845-357-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRMONT PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/SP",
        "authorized_official_telephone_number": "845-825-9567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.