Individual provider Active NPI

Gary J Roes, BS, R.PH.

  • Pharmacist
  • Westbury, NY
National Provider Identifier
1417289018
Registry record updated Feb 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041933 Issued in NY
Practice address
1250 Old Country Rd
Westbury, NY 11590-5624
Phone
(516) 351-3870
Fax
(516) 683-8318
NPI assigned
Feb 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041933 NY Primary

Addresses

Primary practice location

1250 Old Country Rd
Westbury, NY 11590-5624

Mailing address

515 Maxwell St
W Hempstead, NY 11552-1819
Phone (516) 351-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041933NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265414400000",
    "number": "1417289018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAXWELL ST",
            "city": "W HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521819",
            "telephone_number": "516-351-3870",
            "fax_number": "516-683-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905624",
            "telephone_number": "516-351-3870",
            "fax_number": "516-683-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROES",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "BS, R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; 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.