Active NPI
Nys Doccs Walsh Rmu Pharmacy
- Institutional Pharmacy
- Rome, NY
National Provider Identifier
1902575871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- Legal business name
- NYS DOCCS WALSH RMU PHARMACY
- Practice address
- 6514 Route 26
Building 52
Rome, NY 13442-8450 - Phone
- (315) 339-5232
- NPI assigned
- Sep 13, 2021
- Organization subpart
- Yes
- Parent organization
- NEW YORK STATE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Ryan, RPH
- Title
- Pharmacy Supervisor
- Phone
- (315) 339-5232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | Primary |
Addresses
Primary practice location
6514 Route 26
Building 52
Rome, NY 13442-8450
Mailing address
6514 Route 26 PO Box 8450
Building 52
Rome, NY 13442-8450
Phone (315) 339-5232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020715 | Other | NY | NYS PHARMACY LICENSE |
Other names 1
- NYS DOCCS WALSH RMU Pharmacy
National Provider Directory
National Provider Directory- Part of
- Daniel a Spengler
Locations
6514 State Route 26
Bldg 52
Rome, NY 13440
Phone (315) 339-5232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Holland Patent, NY
- NPI 1588988836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1902575871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6514 ROUTE 26 PO BOX 8450",
"address_2": "BUILDING 52",
"city": "ROME",
"state": "NY",
"postal_code": "134428450",
"telephone_number": "315-339-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6514 ROUTE 26",
"address_2": "BUILDING 52",
"city": "ROME",
"state": "NY",
"postal_code": "134428450",
"telephone_number": "315-339-5232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYS DOCCS WALSH RMU PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW YORK STATE",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "PHARMACY SUPERVISOR",
"authorized_official_telephone_number": "315-339-5232",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PHARMACY LICENSE",
"identifier": "020715",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NYS DOCCS WALSH RMU Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.