Individual provider Active NPI

Robert Brayton Langdon, R.PH.

  • Pharmacist
  • Whitesboro, NY
National Provider Identifier
1205985355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044547-1 Issued in NY
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

LicenseStateTypeSpecialty
044547-1NYMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044547-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.