Individual provider Active NPI

Aleya Rodriguez, PHARMD

  • Pharmacist
  • Potsdam, NY
National Provider Identifier
1194332700
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066922 Issued in NY
Practice address
48 Maple St
Potsdam, NY 13676-1124
Phone
(315) 262-0529
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066922 NY Primary

Addresses

Primary practice location

48 Maple St
Potsdam, NY 13676-1124

Mailing address

79 Sugarbush LN
South Colton, NY 13687-3400
Phone (518) 932-5611

Other practice location 1

87 Main St
Massena, NY 13662-1934
Phone (315) 769-3484

Other identifiers 1

IdentifierTypeStateIssuer
066922IOtherNYIMMUNIZING PHARMACIST

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

LicenseStateTypeSpecialty
066922NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1194332700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SUGARBUSH LN",
            "city": "SOUTH COLTON",
            "state": "NY",
            "postal_code": "136873400",
            "telephone_number": "518-932-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAPLE ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761124",
            "telephone_number": "315-262-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Main St",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136621934",
            "country_code": "US",
            "telephone_number": "315-769-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEYA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZING PHARMACIST",
            "identifier": "066922I",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.