RLT Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

023164 Issued in NY

Legal business name

RLT PHARMACY, INC.

Practice address

671 Yonkers Ave
Yonkers, NY 10704-2621

Phone

(914) 965-0686

Fax

(914) 376-9549

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James M Amato, R.PH.

Title

Supervising Pharmacist

Phone

(914) 965-0686

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ST JOHNS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1285624015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042621",
            "telephone_number": "914-965-0686",
            "fax_number": "914-376-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042621",
            "telephone_number": "914-965-0686",
            "fax_number": "914-376-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "914-965-0686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP ID NUMBER",
            "identifier": "3348681",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01992483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.