Active NPI
Rutowski of Alden Inc
- Pharmacy
- Alden, NY
National Provider Identifier
1457348708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- RUTOWSKI OF ALDEN INC
- Practice address
- 13203 Broadway St
Alden, NY 14004-1312 - Phone
- (716) 937-9818
- Fax
- (716) 934-4073
- NPI assigned
- Oct 3, 2005
- 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
- John Rutowski, RPH
- Title
- President
- Phone
- (716) 861-2226
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
13203 Broadway St
Alden, NY 14004-1312
Mailing address
13203 Broadway St
Alden, NY 14004-1312
Phone (716) 937-9818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01018506 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220401000867 | NY | Part B Supplier - Pharmacy | 6002933975 | Practice locations: Alden, NY |
| O20230706004166 | NY | DME Supplier - Pharmacy | 4688033723 | Practice locations: Alden, NY |
| O20230707001372 | NY | Part B Supplier - Pharmacy | 4688033723 | Practice locations: Alden, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rutowski of Alden Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
13203 Broadway St
Alden, NY 14004
Phone (716) 937-9818
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1962718296
-
- Pharmacist
- Alden, NY
- NPI 1740562149
-
- Pharmacist
- Alden, NY
- NPI 1467635607
-
- Pharmacist
- Alden, NY
- NPI 1487985578
-
- Pharmacist
- Memphis, TN
- NPI 1144878620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1457348708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13203 BROADWAY ST",
"city": "ALDEN",
"state": "NY",
"postal_code": "140041312",
"telephone_number": "716-937-9818",
"fax_number": "716-934-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13203 BROADWAY ST",
"city": "ALDEN",
"state": "NY",
"postal_code": "140041312",
"telephone_number": "716-937-9818",
"fax_number": "716-934-4073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTOWSKI OF ALDEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "RUTOWSKI",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-861-2226",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01018506",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.