Active NPI
Yonas Redae
- Pharmacist
- Middletown, NY
National Provider Identifier
1821950411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 073493
- Practice address
- 399 Route 211 E
Middletown, NY 10940-2117 - Phone
- (845) 344-6215
- Fax
- (845) 344-5780
- NPI assigned
- Dec 2, 2025
- Last updated
- Dec 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 073493 | NY | Primary |
Addresses
Primary practice location
399 Route 211 E
Middletown, NY 10940-2117
Mailing address
87 Sunset St
Buffalo, NY 14207-1820
Phone (716) 717-6778
Other practice location 1
87 Sunset st
Buffalo, NY 14207-1820
Phone (716) 717-6778
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1821950411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 SUNSET ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071820",
"telephone_number": "716-717-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 ROUTE 211 E",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402117",
"telephone_number": "845-344-6215",
"fax_number": "845-344-5780"
}
],
"practiceLocations": [
{
"address_1": "87 Sunset st",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142071820",
"country_code": "US",
"telephone_number": "716-717-6778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDAE",
"first_name": "YONAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "073493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.