Active NPI
Robert Brayton Langdon, R.PH.
- Pharmacist
- Whitesboro, NY
National Provider Identifier
1205985355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044547-1
- Practice address
- 131 Oriskany Blvd
Colonial Pharmacy
Whitesboro, NY 13492-1319 - Phone
- (315) 736-2122
- Fax
- (315) 736-7396
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 044547-1 | NY | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044547-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
131 Oriskany Blvd
Colonial Pharmacy
Whitesboro, NY 13492-1319
Mailing address
704 Bellinger Ave
Herkimer, NY 13350-2131
Phone (315) 736-2122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205985355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 BELLINGER AVE",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133502131",
"telephone_number": "315-736-2122",
"fax_number": "315-736-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ORISKANY BLVD",
"address_2": "COLONIAL PHARMACY",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921319",
"telephone_number": "315-736-2122",
"fax_number": "315-736-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGDON",
"first_name": "ROBERT",
"middle_name": "BRAYTON",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044547-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitesboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.