Active NPI
Bobby Ray Haas, PHARMD
- Pharmacist
- Suffern, NY
National Provider Identifier
1124676085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 065931 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Airmont Pharmacy Inc. | Current | Accepting new patients | |
| Haas Pharmacy Inc | Current | 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.
-
- Pharmacy
- Airmont, NY
- NPI 1104783273
-
- Community/Retail Pharmacy
- Sloatsburg, NY
- NPI 1396766358
-
- Community/Retail Pharmacy
- Suffern, NY
- NPI 1073522264
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.