NPIMap

Organization Active NPI

VVSB Pharmacy Inc

Doing business as Robert Jacobson Pharmacy LTD

  • Pharmacy
  • Yonkers, NY
National Provider Identifier
1255680104
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
031581 Issued in NY
Legal business name
VVSB PHARMACY INC
Doing business as
Robert Jacobson Pharmacy LTD
Robert Jacobson Pharmacy
Practice address
231 Ashburton Ave
Yonkers, NY 10701-3227
Phone
(914) 965-3049
Fax
(914) 965-5246
NPI assigned
Sep 6, 2012
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Joseph PaulNPI 1659641165
Title
Pharmacy Manager
Phone
(917) 412-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 031581 NY Primary

Addresses

Primary practice location

231 Ashburton Ave
Yonkers, NY 10701-3227

Mailing address

231 Ashburton Ave
Yonkers, NY 10701-3227
Phone (914) 965-3049

Other identifiers 1

IdentifierTypeStateIssuer
2139491OtherPK

Other names 2

  • ROBERT JACOBSON PHARMACY LTD Doing business as
  • Robert Jacobson 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
O20130816000617 NY DME Supplier - Pharmacy 9436391661 Practice locations: Yonkers, NY
O20190219001336 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9436391661 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory
Tax ID family
Robert Jacobson Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1255680104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ASHBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013227",
            "telephone_number": "914-965-3049",
            "fax_number": "914-965-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 ASHBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013227",
            "telephone_number": "914-965-3049",
            "fax_number": "914-965-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVSB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "917-412-6622"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT JACOBSON PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROBERT JACOBSON PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robert Jacobson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.