Organization Active NPI

Rosenkrans Pharmacy Inc

  • Community/Retail Pharmacy
  • Hilton, NY
National Provider Identifier
1790907236
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028068 Issued in NY
Legal business name
ROSENKRANS PHARMACY INC
Practice address
32 Main St
Hilton, NY 14468
Phone
(585) 392-7979
Fax
(585) 392-2256
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Peter J Miles, RPH
Title
Supervising Pharmacist
Phone
(585) 392-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028068 NY Primary

Addresses

Primary practice location

32 Main St
Hilton, NY 14468

Mailing address

32 Main St
Hilton, NY 14468
Phone (585) 392-7979

Other identifiers 3

IdentifierTypeStateIssuer
3353935OtherNYNCPDP
02938576MedicaidNY
0915930003OtherNYDME PTAN

Other names 1

  • Hilton Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930022456 NY DME Supplier - Pharmacy 5799805370 Practice locations: Hilton, NY
O20150611002153 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5799805370 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hilton, NY; Oakfield, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

40 Main St
Apt A
Oakfield, NY 14125
Phone (585) 948-5283

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1790907236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAIN ST",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "14468",
            "telephone_number": "585-392-7979",
            "fax_number": "585-392-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "14468",
            "telephone_number": "585-392-7979",
            "fax_number": "585-392-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENKRANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "585-392-7979",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3353935",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02938576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "0915930003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilton Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilton Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.