Active NPI
Ronald Walter Greenbaum, RPH
- Pharmacist
- Valhalla, NY
National Provider Identifier
1154646396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032501
- Practice address
- 95 Grasslands Rd, Room Lle-01
Westchester Medical Center - Main Pharmacy
Valhalla, NY 10595 - Phone
- (914) 493-7207
- NPI assigned
- Mar 31, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032501 | NY | Primary |
| Pharmacist | 183500000X | 28RI03062400 | NJ |
Addresses
Primary practice location
95 Grasslands Rd, Room Lle-01
Westchester Medical Center - Main Pharmacy
Valhalla, NY 10595
Mailing address
243 Treetop Cres
The Arbors
Rye Brook, NY 10573-1644
Phone (914) 934-9176
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03062400 | NJ | MD | Pharmacist |
| 032501 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1154646396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 TREETOP CRES",
"address_2": "THE ARBORS",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105731644",
"telephone_number": "914-934-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 GRASSLANDS RD, ROOM LLE-01",
"address_2": "WESTCHESTER MEDICAL CENTER - MAIN PHARMACY",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "RONALD",
"middle_name": "WALTER",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "032501",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03062400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.