Organization Active NPI

J Rutowski and Sons Inc

  • Community/Retail Pharmacy
  • Warsaw, NY
National Provider Identifier
1609937531
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020394 Issued in NY
Legal business name
J RUTOWSKI AND SONS INC
Practice address
75 N Main St
Warsaw, NY 14569-1343
Phone
(585) 786-2330
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Mr. James Joseph Rutowski, RPHNPI 1164583076
Title
Supervising Pharmacist
Phone
(585) 786-2330

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 020394 NY Primary

Addresses

Primary practice location

75 N Main St
Warsaw, NY 14569-1343

Mailing address

75 N Main St
Warsaw, NY 14569-1343
Phone (585) 786-2330

Other identifiers 1

IdentifierTypeStateIssuer
01154434MedicaidNY

Other names 1

  • Sinclair 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
O20100930037600 NY DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Department Store 3577680172 Practice locations: Warsaw, NY
O20141022000046 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3577680172 Practice locations: Warsaw, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2185431Sinclair Pharmacy75 N Main St, Warsaw, NY 14569Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
J Rutowski and Sons Inc75 N Main St, Warsaw, NY 14569-1343(585) 786-2330 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walker… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

75 N Main St
Warsaw, NY 14569
Phone (585) 786-2330

Practitioners & affiliated clinicians

Practitioners 3

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1609937531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691343",
            "telephone_number": "585-786-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691343",
            "telephone_number": "585-786-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RUTOWSKI AND SONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "RUTOWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "585-786-2330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01154434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sinclair Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.