Route 16 Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROUTE 16 PHARMACY, LLC

Practice address

19 N Main St
Holland, NY 14080-9509

Phone

(716) 537-2822

Fax

(716) 537-2105

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Barbara Roberts, PHARMD

Title

Pharmacist

Phone

(716) 537-2822

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Holland Pharmacy LTC

  • Long Term Care Pharmacy
  • Holland, NY
  • NPI 1942133913
  NPPES parent name

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1720599228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N MAIN ST",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809509",
            "telephone_number": "716-537-2822",
            "fax_number": "716-537-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N MAIN ST",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809509",
            "telephone_number": "716-537-2822",
            "fax_number": "716-537-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTE 16 PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "716-537-2822",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05222757",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Ann O'Donnell
• Katherine Ostrowski
• Cindy Poulsen, LCSW
• Tammy Regnier, LPN
• Barbara Roberts, PHARMD
• Bradley Noel Samit, R.N.
• Gabrielle Seamans
• Mary Beth Seider, SLP
• Sarah A Thompson Dipaolo, MS, RD, CDN
• Katherine Joan Trawinski, FNP

• Community/Retail Pharmacy in Holland, NY
• Providers in Holland, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.