Organization Active NPI

Trucare Pharmacy of Rockland Inc

  • Long Term Care Pharmacy
  • Pomona, NY
National Provider Identifier
1407943608
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
025391 Issued in NY
Legal business name
TRUCARE PHARMACY OF ROCKLAND INC
Practice address
358 Route 202
Pomona, NY 10970-3107
Phone
(845) 364-5300
Fax
(845) 364-9863
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Salman Dar
Title
Owner/ SP
Phone
(845) 364-5300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 025391 NY Primary

Addresses

Primary practice location

358 Route 202
Pomona, NY 10970-3107

Mailing address

358 Route 202
Pomona, NY 10970-3107
Phone (845) 364-5300

Other identifiers 2

IdentifierTypeStateIssuer
2064236OtherPK
02290724MedicaidNY

Other names 2

  • TRUCARE PHARMACY Doing business as
  • TruCare Pharmacy of Rockland Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930017812 NY DME Supplier - Pharmacy 5193931814 Practice locations: Pomona, NY
O20210615002553 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5193931814 Practice locations: Pomona, NY

National Provider Directory

National Provider Directory
Tax ID family
Trucare Pharmacy of Rockland Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

358 Route 202
Pomona, NY 10970
Phone (845) 364-5300

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1407943608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 ROUTE 202",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703107",
            "telephone_number": "845-364-5300",
            "fax_number": "845-364-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 ROUTE 202",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703107",
            "telephone_number": "845-364-5300",
            "fax_number": "845-364-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE PHARMACY OF ROCKLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "DAR",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "OWNER/ SP",
        "authorized_official_telephone_number": "845-364-5300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "025391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064236",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02290724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TruCare Pharmacy of Rockland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TruCare Pharmacy of Rockland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.