Organization Active NPI

Reilly RPH, LLC

  • Compounding Pharmacy
  • Pleasant Valley, NY
National Provider Identifier
1265321012
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
REILLY RPH, LLC
Practice address
3 Charles St Ste 4
Pleasant Valley, NY 12569-7738
Phone
(845) 489-1232
NPI assigned
Jun 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Stacey Reilly, RPHNPI 1235261777
Title
Owner
Phone
(845) 489-1232

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
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

3 Charles St Ste 4
Pleasant Valley, NY 12569-7738

Mailing address

3 Charles St Ste 4
Pleasant Valley, NY 12569-7738
Phone (845) 489-1232

Other names 1

  • Mak Compounding Doing business as

National Provider Directory

National Provider Directory

Locations

3 Charles St
Ste 4
Pleasant Valley, NY 12569
Phone (845) 489-1232

Practitioners & affiliated clinicians

Practitioners 1

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": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1265321012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHARLES ST STE 4",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697738",
            "telephone_number": "845-489-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHARLES ST STE 4",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697738",
            "telephone_number": "845-489-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REILLY RPH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-489-1232",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mak Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.