Organization Active NPI

J Rutowski Inc

  • Pharmacy
  • Cheektowaga, NY
National Provider Identifier
1225102759
Registry record updated Nov 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0016239 Issued in NY
Legal business name
J RUTOWSKI INC
Practice address
1031 Cleveland Dr
Cheektowaga, NY 14225-1221
Phone
(716) 632-4888
Fax
(716) 632-4488
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2009

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

Authorized official

Name
Joesph Rutowski, RPH
Title
RPH
Phone
(716) 632-6114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0016239 NY Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1031 Cleveland Dr
Cheektowaga, NY 14225-1221

Mailing address

1031 Cleveland Dr
Cheektowaga, NY 14225-1221
Phone (716) 632-4888

Other identifiers 2

IdentifierTypeStateIssuer
00608508MedicaidNY
3365714OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • TILE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930060780 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 7719004316 Practice locations: Cheektowaga, NY
O20201117001658 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7719004316 Practice locations: Cheektowaga, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2185430Tile Pharmacy1031 Cleveland Dr, Cheektowaga, NY 14225Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
J Rutowski Inc1031 Cleveland Dr, Cheektowaga, NY 14225-1221(716) 632-4888 Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1225102759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 CLEVELAND DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251221",
            "telephone_number": "716-632-4888",
            "fax_number": "716-632-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 CLEVELAND DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251221",
            "telephone_number": "716-632-4888",
            "fax_number": "716-632-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RUTOWSKI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "RUTOWSKI",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "716-632-6114",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "0016239",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00608508",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3365714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TILE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.