Nyack Apothecary Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

032294 Issued in NY

Legal business name

NYACK APOTHECARY INC

Practice address

96 Main St
Nyack, NY 10960-3110

Phone

(845) 358-0688

Fax

(914) 358-7966

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Karan Kharawala

Title

Pharmacist in Charge

Phone

(845) 358-0688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Koblin's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Koblin'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nyack Apothecary Inc

  • Long Term Care Pharmacy
  • Nyack, NY
  • NPI 1902621543
  NPD tax ID

Practitioners 1

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

• Jeffrey Scott Rucker, PHARM. D.

  • Pharmacist
  • Hasbrouck Heights, NJ
  • NPI 1215252325
  NPD

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1114367653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603110",
            "telephone_number": "845-358-0688",
            "fax_number": "845-358-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603110",
            "telephone_number": "845-358-0688",
            "fax_number": "914-358-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYACK APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "KHARAWALA",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "845-358-0688",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "032294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koblin's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koblin's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Nyack, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.