Organization Active NPI

Rutowski of Alden Inc

  • Pharmacy
  • Alden, NY
National Provider Identifier
1457348708
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Apr 3, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01018506MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 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
Rutowski of Alden Inc13203 Broadway St, Alden, NY 14004-1312(716) 937-9818 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 10, 2023

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.