Active NPI
J Rutowski of Elma Inc
- Community/Retail Pharmacy
- Elma, NY
National Provider Identifier
1598848533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028512
- Legal business name
- J RUTOWSKI OF ELMA INC
- Practice address
- 2317 Bowen Rd
Elma, NY 14059-9497 - Phone
- (716) 652-3920
- Fax
- (716) 652-3010
- NPI assigned
- Oct 23, 2006
- 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
- John Rutowski, RPH
- Title
- VP
- Phone
- (716) 652-3920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 028512 | NY | Primary |
Addresses
Primary practice location
2317 Bowen Rd
Elma, NY 14059-9497
Mailing address
PO Box 90
2317 Bowen Rd
Elma, NY 14059-0090
Phone (716) 652-3920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2916310 | Medicaid | NY | |
| 2058541 | Other | PK |
Other names 1
- CYS ELMA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930073164 | NY | DME Supplier - Pharmacy | 4183829088 | Practice locations: Elma, NY |
| O20210112001514 | NY | Part B Supplier - Pharmacy | 4183829088 | Practice locations: Elma, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| J Rutowski of Elma Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2317 Bowen Rd
Elma, NY 14059
Phone (716) 652-3920
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elma, NY
- NPI 1255459772
-
- Pharmacist
- Elma, NY
- NPI 1407977796
-
- Pharmacist
- Elma, NY
- NPI 1114560703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1598848533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"address_2": "2317 BOWEN RD",
"city": "ELMA",
"state": "NY",
"postal_code": "140590090",
"telephone_number": "716-652-3920",
"fax_number": "716-652-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 BOWEN RD",
"city": "ELMA",
"state": "NY",
"postal_code": "140599497",
"telephone_number": "716-652-3920",
"fax_number": "716-652-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J RUTOWSKI OF ELMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "RUTOWSKI",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "716-652-3920",
"authorized_official_credential": "RPH"
},
"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": "028512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2916310",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2058541",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CYS ELMA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elma, NY
- Michael Angelo Impaglia III, DC
- Integrative Muscle & Joint Chiropractic, PLLC
- Integrative Muscle & Joint Chiropractic, PLLC
- Integris Equipment
- Iroquois Central School District
- James F May DDS LLC
- Jamison Road Volunteer Fire Company Inc
- Olivia I Jankowski
- Jennifer Lynn Finney, DDS, PLLC
- Benjamin M Joplin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.