Individual provider Active NPI

Todd I Rynecki, RPH

  • Pharmacist
  • Hauppauge, NY
National Provider Identifier
1265947733
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023561 Issued in NY
Practice address
185 Oser Ave
Hauppauge, NY 11788-3710
Phone
(800) 854-5729
Fax
(800) 654-7515
NPI assigned
Dec 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 023561 NY Primary

Addresses

Primary practice location

185 Oser Ave
Hauppauge, NY 11788-3710

Mailing address

185 Oser Ave
Hauppauge, NY 11788-3710
Phone (800) 854-5729

Other identifiers 1

IdentifierTypeStateIssuer
01742098MedicaidNY

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Living Now Inc CurrentSince Dec 15, 2019 Accepting new patients

Locations

185 Oser Ave
Hauppauge, NY 11788
Phone 6313480032 ext. 109

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1265947733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OSER AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883710",
            "telephone_number": "800-854-5729",
            "fax_number": "800-654-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OSER AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883710",
            "telephone_number": "800-854-5729",
            "fax_number": "800-654-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNECKI",
        "first_name": "TODD",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "023561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.