Revrac Industries Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

018923 Issued in NY

Legal business name

REVRAC INDUSTRIES INC

Practice address

69 S Liberty Dr
Stony Point, NY 10980-2321

Phone

(845) 942-1373

Fax

(845) 942-0401

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

David Carver, RPHNPI 1922326255

Title

RPH

Phone

(845) 942-1373

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• STONY POINT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David P Carver, RPH

  • Pharmacist
  • Stony Point, NY
  • NPI 1922326255
  NPD Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1215031273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 S LIBERTY DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802321",
            "telephone_number": "845-942-1373",
            "fax_number": "845-942-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S LIBERTY DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802321",
            "telephone_number": "845-942-1373",
            "fax_number": "845-942-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVRAC INDUSTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "845-942-1373",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONY POINT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prolink Credentialing
• Pure Well Being
• Marybeth Rainey
• Alexis Reeves
• Brittany Rende, LPN
• Jeanmarie Margaret Rizzitiello, RN
• Rockland Behavioral Medicine PLLC
• Desiree Rodriguez, CCC-SLP, TSSLD
• Steve A Roithmayr, PHD, MSW
• Stephen H. Rush, DC

• Community/Retail Pharmacy in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.