Robert Jacobson Surgical Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

17043 Issued in NY

Legal business name

ROBERT JACOBSON SURGICAL PHARMACY

Practice address

359 E Main St
Mount Kisco, NY 10549-3028

Phone

(914) 241-4887

Fax

(914) 241-1634

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Marion Ferraro

Title

Owner

Phone

(914) 241-4887

Specialties & licenses 5

Addresses

Other identifiers 3

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 Inc.

  • Pharmacy
  • Mt Kisco, NY
  • NPI 1568564979

  O20100930013947

  Same enrollment

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1619972288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-241-4887",
            "fax_number": "914-241-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-241-4887",
            "fax_number": "914-241-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JACOBSON SURGICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "FERRARO",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-241-4887",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "17043",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "17043",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B26671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1857",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00570076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc
• Rachel Ann Rizzo, CCC-SLP
• Michaele Rizzuto, LCSW
• Patricia Biederman Robbins, OTR/L
• Robert D. Aufrichtig D.M.D.,P.C.
• Robert Jacobson Surgical Pharmacy Inc.
• Robert Jacobson Surgical Pharmacy Inc.
• Donna Marie Roberti Napoli
• Amy Robinson, PH.D., CASAC
• Justin Kyle Rockitter

• 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 Nov 2, 2011; 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.