Active NPI
Trucare Pharmacy of Rockland Inc
- Long Term Care Pharmacy
- Pomona, NY
National Provider Identifier
1407943608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 025391
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2064236 | Other | PK | |
| 02290724 | Medicaid | NY |
Other names 2
- TRUCARE PHARMACY
- TruCare Pharmacy of Rockland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pomona, NY
- NPI 1629833108
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.