Tarrytown Expocare NJ, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TARRYTOWN EXPOCARE NJ, LLC

Practice address

1225 McBride Ave Ste 102
Woodland Park, NJ 07424-3813

Phone

(512) 617-7312

NPI assigned

May 10, 2019

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Meyer Jr

Title

Cfo

Phone

(512) 649-8963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tarrytown Expocare, LLC

  dba Tarrytown Expocare Pharmacy

  • Long Term Care Pharmacy
  • Austin, TX
  • NPI 1508112392

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Walaa Abdrabouh, PHARMD

  • Pharmacist
  • Woodland Park, NJ
  • NPI 1265083687
  NPD
• Emman Mohamed Ashour

  • Pharmacist
  • Woodland Park, NJ
  • NPI 1083415731
  NPD
• Mark D Newberry, PHARMD

  • Pharmacist
  • Austin, TX
  • NPI 1518518927
  NPD

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1669038162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SHOAL CREEK BLVD BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576888",
            "telephone_number": "512-617-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE STE 102",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243813",
            "telephone_number": "512-617-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN EXPOCARE NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MEYER JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-649-8963"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.