Organization Active NPI

Haverstraw RX LLC

  • Community/Retail Pharmacy
  • Haverstraw, NY
National Provider Identifier
1366337396
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAVERSTRAW RX LLC
Practice address
2 Main St
Haverstraw, NY 10927-1966
Phone
(845) 553-9900
Fax
(845) 553-9911
NPI assigned
Jun 10, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lokeswara R Kalakoti
Title
Manager
Phone
(845) 553-9900

Member of 5

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Haverstraw RX LLC2 Main St, Haverstraw, NY 10927-1966(845) 553-9900 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 6, 2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251203001151 NY DME Supplier - Pharmacy 5890288344 Practice locations: Haverstraw, NY
O20251218000046 NY Part B Supplier - Pharmacy 5890288344 Practice locations: Haverstraw, NY

National Provider Directory

National Provider Directory

Locations

2 Main St
Haverstraw, NY 10927
Phone (845) 553-9900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Main St
Haverstraw, NY 10927-1966

Mailing address

2 Main St
Haverstraw, NY 10927-1966
Phone (845) 553-9900

Other names 1

NPPES NPI Registry
  • Care Rx Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2025.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1366337396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271966",
            "telephone_number": "845-553-9900",
            "fax_number": "845-553-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271966",
            "telephone_number": "845-553-9900",
            "fax_number": "845-553-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERSTRAW RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "KALAKOTI",
        "authorized_official_first_name": "LOKESWARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-553-9900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.