Paul Roldan, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

048096 Issued in NY

Practice address

222 Oakridge CMNS
South Salem, NY 10590-2437

Phone

(914) 533-5679

Fax

(914) 533-5222

NPI assigned

Sep 5, 2008

Last updated

Sep 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• D and B Pharmacy Corporation

  dba Paul's Pharmacy

  • Community/Retail Pharmacy
  • South Salem, NY
  • NPI 1669577433
  NPD Authorized official
• Darar RX Group Corp.

  • Pharmacy
  • South Salem, NY
  • NPI 1497694459
  NPD (past)

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1629226329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109560765",
            "telephone_number": "914-533-5679",
            "fax_number": "914-533-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OAKRIDGE CMNS",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902437",
            "telephone_number": "914-533-5679",
            "fax_number": "914-533-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02493805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leilani Orozco
• Joelle Orzo
• Palliative Medicine of New York, PLLC
• Michele Wendy Posner
• Alissa Ravitch
• Lisa Gould Rubin, CD(DONA), LCCE
• Ainsley Elizabeth Ryan, M.S., CCC-SLP
• Steven Ira Schechter, MSW
• Pamela J Schoenberg, DDS
• Lauren See, M.A., CCC-SLP

• Pharmacist in South Salem, NY
• Providers in South Salem, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.