Individual provider Active NPI

Rachel Ann Roberto, PHARMD

  • Pharmacist
  • Stanfordville, NY
National Provider Identifier
1679177174
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
067364 Issued in NY
Practice address
6032 Route 82
Stanfordville, NY 12581-5953
Phone
(845) 868-1010
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 067364 NY Primary

Addresses

Primary practice location

6032 Route 82
Stanfordville, NY 12581-5953

Mailing address

16 Hasbrouck Ave
Highland, NY 12528-1729

Other practice location 1

320 Main St
Beacon, NY 12508-3019
Phone (845) 831-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
067364NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dutchess Chemists Inc. PastSince Apr 10, 2022 Accepting new patients
Rite Aid of New York Inc PastSince Nov 1, 2020 Accepting new patients
Rite Aid of New York Inc PastSince Nov 1, 2020 Accepting new patients
Dutchess Chemists Inc PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1679177174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HASBROUCK AVE",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 ROUTE 82",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "125815953",
            "telephone_number": "845-868-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Main St",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125083019",
            "country_code": "US",
            "telephone_number": "845-831-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanfordville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.