Individual provider Active NPI

Robert Edward Ackerhalt, PH.D., R.PH.

  • Nuclear Pharmacist
  • Cheektowaga, NY
National Provider Identifier
1245355502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacistTaxonomy code 1835N0905X
License
034617 Issued in NY
Practice address
840 Aero Dr
Suite 150
Cheektowaga, NY 14225-1451
Phone
(716) 810-0688
Fax
(716) 810-0687
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacist 1835N0905X 034617 NY Primary

Addresses

Primary practice location

840 Aero Dr
Suite 150
Cheektowaga, NY 14225-1451

Mailing address

91 Heritage Rd E
Williamsville, NY 14221-2307
Phone (716) 688-1262

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
Doctor of Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
034617NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245355502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HERITAGE RD E",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212307",
            "telephone_number": "716-688-1262",
            "fax_number": "716-810-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 AERO DR",
            "address_2": "SUITE 150",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251451",
            "telephone_number": "716-810-0688",
            "fax_number": "716-810-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERHALT",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D., R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "NY",
            "license": "034617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.