Active NPI
Bryan Alexander Galecki, RPH
- Pharmacist
- Newburgh, NY
National Provider Identifier
1164754503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32491
- Practice address
- 39 N Plank Rd
Newburgh, NY 12550-2118 - Phone
- (845) 561-3784
- NPI assigned
- Feb 10, 2010
- Last updated
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 32491 | NY | Primary |
Addresses
Primary practice location
39 N Plank Rd
Newburgh, NY 12550-2118
Mailing address
PO Box 12
Montgomery, NY 12549-0012
Phone (845) 542-0167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2829909 | Medicaid | NY |
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 |
|---|---|---|---|
| 32491 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1164754503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125490012",
"telephone_number": "845-542-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 N PLANK RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502118",
"telephone_number": "845-561-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALECKI",
"first_name": "BRYAN",
"middle_name": "ALEXANDER",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "32491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2829909",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.