Active NPI
Airmont Pharmacy Inc.
- Pharmacy
- Airmont, NY
National Provider Identifier
1104783273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Bobby Ray Haas, PHARMD
- 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.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Suffern, NY
- NPI 1124676085
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Airmont Pharmacy Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260407002083 | NY | Part B Supplier - Pharmacy | 0143795104 | Practice locations: Suffern, NY |
| O20260513000603 | NY | DME Supplier - Pharmacy | 0143795104 | Practice locations: Suffern, NY |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
214 Route 59
Airmont, NY 10901-5205
Mailing address
214 Route 59
Airmont, NY 10901-5205
Phone (845) 357-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2026.
{
"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.