Robert Jacobson Surgical Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

017043 Issued in NY

Legal business name

ROBERT JACOBSON SURGICAL PHARMACY INC.

Practice address

359 East Main Street
Mt Kisco, NY 10549

Phone

(914) 241-4887

Fax

(914) 241-7041

NPI assigned

Sep 5, 2006

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abraam Gergis

Title

President

Phone

(914) 241-4887

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Robert Jacobson Surgical Pharmacy

  • Pharmacy
  • Mount Kisco, NY
  • NPI 1619972288

  O20100930013947

  Same enrollment

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1568564979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 EAST MAIN STREET",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-241-4887",
            "fax_number": "914-241-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 EAST MAIN STREET",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-241-4887",
            "fax_number": "914-241-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JACOBSON SURGICAL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "GERGIS",
        "authorized_official_first_name": "ABRAAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-241-4887"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "017043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00570076",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3371159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaele Rizzuto, LCSW
• Patricia Biederman Robbins, OTR/L
• Robert D. Aufrichtig D.M.D.,P.C.
• Robert Jacobson Surgical Pharmacy
• Robert Jacobson Surgical Pharmacy Inc.
• Donna Marie Roberti Napoli
• Amy Robinson, PH.D., CASAC
• Justin Kyle Rockitter
• Darcy Rodenbach, CRNA
• Julie Catherine Roffi, NP

• Pharmacy in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.

Verify at the official NPI Registry.