Active NPI
Rye Beach Pharmacy, Inc
- Community/Retail Pharmacy
- Rye, NY
National Provider Identifier
1790785459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 011965
- Legal business name
- RYE BEACH PHARMACY, INC
- Practice address
- 464 Forest Ave
Rye, NY 10580-3645 - Phone
- (914) 967-0856
- Fax
- (914) 967-1989
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Giaquinto
- Title
- President
- Phone
- (914) 967-0856
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 011965 | NY | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
464 Forest Ave
Rye, NY 10580-3645
Mailing address
464 Forest Ave
Rye, NY 10580-3645
Phone (914) 967-0856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00259783 | Medicaid | NY | |
| 2063883 | Other | PK |
Other names 1
- RYE BEACH PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930026512 | NY | DME Supplier - Pharmacy | 3870611205 | Practice locations: Rye, NY |
| O20171005001741 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870611205 | Practice locations: Rye, NY |
National Provider Directory
National Provider DirectoryLocations
464 Forest Ave
Rye, NY 10580
Phone (914) 967-0856
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rye, NY
- NPI 1073770343
-
- Pharmacist
- Rye, NY
- NPI 1588821854
-
- Pharmacist
- Rye, NY
- NPI 1114291325
-
- Pharmacist
- Rye, NY
- NPI 1275708851
-
- Cognitive & Behavioral Psychologist
- Rye, NY
- NPI 1336315142
-
- Pharmacist
- Rye, NY
- NPI 1851618201
-
- Pharmacist
- Rye, NY
- NPI 1154004943
-
- Pharmacist
- Rye, NY
- NPI 1790001493
-
- Pharmacist
- Rye, NY
- NPI 1386802536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1790785459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 FOREST AVE",
"city": "RYE",
"state": "NY",
"postal_code": "105803645",
"telephone_number": "914-967-0856",
"fax_number": "914-967-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 FOREST AVE",
"city": "RYE",
"state": "NY",
"postal_code": "105803645",
"telephone_number": "914-967-0856",
"fax_number": "914-967-1989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYE BEACH PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "GIAQUINTO",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-967-0856"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "011965",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00259783",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2063883",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RYE BEACH PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.