Individual provider Active NPI

Bobby Ray Haas, PHARMD

  • Pharmacist
  • Suffern, NY
National Provider Identifier
1124676085
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065931 Issued in NY
Practice address
214 Route 59
Suffern, NY 10901-5205
Phone
(845) 357-5200
Fax
(845) 357-0399
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 065931 NY Primary

Addresses

Primary practice location

214 Route 59
Suffern, NY 10901-5205

Mailing address

62 Orange Tpke
Sloatsburg, NY 10974-2317
Phone (845) 753-9675

Other practice location 1

62 Orange Tpke
Sloatsburg, NY 10974-2317
Phone (845) 753-9675

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
065931NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Airmont Pharmacy Inc. Current Accepting new patients
Haas Pharmacy Inc CurrentSince Sep 8, 2019 Accepting new patients
Drug Mart Tallman Inc. Past Accepting new patients

Locations

62 Orange Tpke
Sloatsburg, NY 10974
Phone (845) 753-9675

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1124676085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ORANGE TPKE",
            "city": "SLOATSBURG",
            "state": "NY",
            "postal_code": "109742317",
            "telephone_number": "845-753-9675"
        },
        {
            "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": [
        {
            "address_1": "62 Orange Tpke",
            "address_purpose": "LOCATION",
            "city": "Sloatsburg",
            "state": "NY",
            "postal_code": "109742317",
            "country_code": "US",
            "telephone_number": "845-753-9675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "BOBBY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.