Organization Active NPI

Rocky Hill Pharmacy Inc

  • Community/Retail Pharmacy
  • Bellerose, NY
National Provider Identifier
1356419188
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROCKY HILL PHARMACY INC
Practice address
23601 Braddock Ave
Bellerose, NY 11426-1143
Phone
(718) 343-8995
Fax
(718) 343-1994
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael A RandazzoNPI 1922320415
Title
President
Phone
(718) 343-8995

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

23601 Braddock Ave
Bellerose, NY 11426-1143

Mailing address

23601 Braddock Ave
Bellerose, NY 11426-1143
Phone (718) 343-8995

Other identifiers 2

IdentifierTypeStateIssuer
01470997MedicaidNY
3331321OtherNYNABP NUMBER

National Provider Directory

National Provider Directory

Locations

23601 Braddock Ave
Jamaica, NY 11426
Phone (718) 343-8995

Practitioners & affiliated clinicians

Practitioners 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356419188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23601 BRADDOCK AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261143",
            "telephone_number": "718-343-8995",
            "fax_number": "718-343-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23601 BRADDOCK AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261143",
            "telephone_number": "718-343-8995",
            "fax_number": "718-343-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY HILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-343-8995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470997",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3331321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.