Robert Jacobson Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

027348 Issued in NY

Legal business name

ROBERT JACOBSON PHARMACY

Practice address

935 S Lake Blvd
Suite 7
Mahopac, NY 10541-3218

Phone

(845) 621-2571

Fax

(845) 621-2572

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Cyran, RPH

Title

Vice President

Phone

(845) 621-2571

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134188345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S LAKE BLVD",
            "address_2": "SUITE 7",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413218",
            "telephone_number": "845-621-2571",
            "fax_number": "845-621-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S LAKE BLVD",
            "address_2": "SUITE 7",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413218",
            "telephone_number": "845-621-2571",
            "fax_number": "845-621-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JACOBSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CYRAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-621-2571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Renchner-Kelly
• Donna Marie Restivo, DC
• Ashley Retta, LMSW
• Rite Aid of New York Inc (Rite Aid Pharmacy 01451)
• Maria Oliva Rivera, FNP-BC
• Lauren Brigitte Robinson
• Adrea Anne Robles, L.M.T.
• Shalini Roman, LMSW
• Sean M Rooney, DDS
• Timothy Owen Rowe, MD

• Pharmacist in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.