Organization Active NPI

Catskill Pharmacy Inc

  • Community/Retail Pharmacy
  • Kerhonkson, NY
National Provider Identifier
1578618740
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024863 Issued in NY
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Muhammad Atiqur Rahman, PHARMACISTNPI 1164746327
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02092955MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930015834 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Department Store 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.