Organization Active NPI

Rye Ridge Pharmacy Inc

  • Community/Retail Pharmacy
  • Rye Brook, NY
National Provider Identifier
1457808974
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035040 Issued in NY
Legal business name
RYE RIDGE PHARMACY INC
Practice address
146 S. Ridge Street
Rye Brook, NY 10573
Phone
(914) 937-4444
Fax
(914) 481-4584
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Charlene Jacobi
Title
President
Phone
(914) 937-4444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035040 NY Primary

Addresses

Primary practice location

146 S. Ridge Street
Rye Brook, NY 10573

Mailing address

146 S Ridge St
Rye Brook, NY 10573-2813
Phone (914) 937-4444

Other identifiers 1

IdentifierTypeStateIssuer
2166199OtherPK

Other names 1

  • Rye Ridge Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170421000794 NY DME Supplier - Pharmacy 3476839747 Practice locations: Rye Brook, NY
O20180131001503 NY Part B Supplier - Pharmacy 3476839747 Practice locations: Rye Brook, 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
Rye Ridge Pharmacy Inc146 S Ridge St, Rye Brook, NY 10573-2813(914) 937-4444 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 25, 2017

National Provider Directory

National Provider Directory

Locations

146 S Ridge St
Rye Brook, NY 10573
Phone (914) 937-4444

Practitioners & affiliated clinicians

Practitioners 2

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1457808974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S RIDGE ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732813",
            "telephone_number": "914-937-4444",
            "fax_number": "914-481-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S. RIDGE STREET",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-937-4444",
            "fax_number": "914-481-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE RIDGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-937-4444"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rye Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rye Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.