Organization Active NPI

Haverstraw Pharmacy Inc

  • Community/Retail Pharmacy
  • Garnerville, NY
National Provider Identifier
1205075330
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029252 Issued in NY
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.