RCK Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024305 Issued in NY

Legal business name

RCK PHARMACY LLC

Practice address

520 W 207TH St
New York, NY 10034-2646

Phone

(212) 567-1350

Fax

(212) 567-1350

NPI assigned

Dec 26, 2006

Reactivated

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Ramabhai PatelNPI 1649593153

Title

Owner/Ao

Phone

(267) 467-2605

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• san judas tadeo pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramabhai Patel

  • Pharmacist
  • Mount Kisco, NY
  • NPI 1649593153
  NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1184789745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342646",
            "telephone_number": "212-567-1350",
            "fax_number": "212-567-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342646",
            "telephone_number": "212-567-1350",
            "fax_number": "212-567-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-05-20",
        "deactivation_date": "2019-05-15",
        "reactivation_date": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAMABHAI",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "267-467-2605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175474",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295910001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san judas tadeo pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asad Razzaq
• Fauzia Razzaque, NP
• Louai Razzouk, M.D., M.P.H.
• Sleiman Najib Razzouk, DDS
• RCG PT PC
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• RCM Technologies
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• RCZ Chiropractic P.C.
• RDS Pharmacy Inc

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.