Organization Active NPI

Dobbs Ferry Pharmacy

  • Pharmacist
  • Dobbs Ferry, NY
National Provider Identifier
1851306252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15604 Issued in NY
Legal business name
DOBBS FERRY PHARMACY
Practice address
18 Cedar St
Dobbs Ferry, NY 10522-1721
Phone
(914) 693-3100
Fax
(914) 693-2277
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce Glickman, PD
Title
Owner/Pharmacist
Phone
(914) 693-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 15604 NY Primary

Addresses

Primary practice location

18 Cedar St
Dobbs Ferry, NY 10522-1721

Mailing address

18 Cedar St
Dobbs Ferry, NY 10522-1721
Phone (914) 693-3100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851306252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CEDAR ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221721",
            "telephone_number": "914-693-3100",
            "fax_number": "914-693-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CEDAR ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221721",
            "telephone_number": "914-693-3100",
            "fax_number": "914-693-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBBS FERRY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "914-693-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "15604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.