Active NPI
Robert Swahn, RPH
- Pharmacist
- Jamaica, NY
National Provider Identifier
1770805517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I032279
- Practice address
- 12704 Guy R Brewer Blvd
Jamaica, NY 11434-2955 - Phone
- (718) 978-4458
- Fax
- (718) 978-4485
- NPI assigned
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I032279 | NY | Primary |
Addresses
Primary practice location
12704 Guy R Brewer Blvd
Jamaica, NY 11434-2955
Mailing address
299 Denton Ave
Lynbrook, NY 11563-2157
Phone (516) 837-0532
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I032279 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1770805517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 DENTON AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632157",
"telephone_number": "516-837-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12704 GUY R BREWER BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342955",
"telephone_number": "718-978-4458",
"fax_number": "718-978-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAHN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I032279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.