Active NPI
Catskill Pharmacy Inc
- Community/Retail Pharmacy
- Kerhonkson, NY
National Provider Identifier
1578618740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 024863
- Legal business name
- CATSKILL PHARMACY INC
- Practice address
- 6401 RT 209 US Highway
Kerhonkson, NY 12446 - Phone
- (845) 626-0900
- Fax
- (845) 626-5546
- NPI assigned
- Jan 25, 2007
- Last updated
- Jun 17, 2015
- 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
- Muhammad Atiqur Rahman, PHARMACIST
- Title
- President
- Phone
- (845) 626-0900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 024863 | NY | Primary |
Addresses
Primary practice location
6401 RT 209 US Highway
Kerhonkson, NY 12446
Mailing address
6401 RT 209 Ushighway
Kerhonkson, NY 12446
Phone (845) 626-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02092955 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930015834 | NY | DME Supplier - Pharmacy | 2466563671 | Practice locations: Kerhonkson, NY |
| O20160224001941 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466563671 | Practice locations: Kerhonkson, NY |
National Provider Directory
National Provider DirectoryLocations
6401 Route 209
Kerhonkson, NY 12446
Phone (845) 626-0900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Kerhonkson, NY
- NPI 1164746327
-
- Pharmacotherapy Pharmacist
- Kerhonkson, NY
- NPI 1902736598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434499200000",
"number": "1578618740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 RT 209 USHIGHWAY",
"city": "KERHONKSON",
"state": "NY",
"postal_code": "12446",
"telephone_number": "845-626-0900",
"fax_number": "845-626-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 RT 209 US HIGHWAY",
"city": "KERHONKSON",
"state": "NY",
"postal_code": "12446",
"telephone_number": "845-626-0900",
"fax_number": "845-626-5546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATSKILL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2015-06-17",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "ATIQUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-626-0900",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "024863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02092955",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerhonkson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.