Active NPI
Haverstraw Pharmacy Inc
- Community/Retail Pharmacy
- Garnerville, NY
National Provider Identifier
1205075330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029252
- Legal business name
- HAVERSTRAW PHARMACY INC
- Practice address
- 124 E Ramapo Road
Garnerville, NY 10923 - Phone
- (845) 429-8888
- NPI assigned
- Feb 12, 2009
- Last updated
- Jun 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed S Rahman
- Title
- President
- Phone
- (845) 429-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029252 | NY | Primary |
Addresses
Primary practice location
124 E Ramapo Road
Garnerville, NY 10923
Mailing address
124 East Ramapo Road
West Haverstraw, NY 10927
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1205075330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 EAST RAMAPO ROAD",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "10927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E RAMAPO ROAD",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "10923",
"telephone_number": "845-429-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVERSTRAW PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-429-8888"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garnerville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.