Redi Corporation and Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024507 Issued in NY

Legal business name

REDI CORPORATION AND PHARMACY

Practice address

44 Ronald Reagan Blvd
Warwick, NY 10990-4118

Phone

(845) 988-5805

Fax

(914) 988-5872

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Arkady Chepkuuov

Title

Owner

Phone

(845) 988-5805

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• REDI CORPORATION AND PHARMACY Doing business as

Tax ID family

Redi Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Redi Corporation

  • Community/Retail Pharmacy
  • Nanuet, NY
  • NPI 1942645395
  NPD tax ID

Locations

Practitioners 2

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

• Arkady Borisovich Chepkunov, RPH

  • Pharmacist
  • Nanuet, NY
  • NPI 1114362704
  NPD
• Annmarie Slagle Cloutier, PHARM.D.

  • Pharmacist
  • Warwick, NY
  • NPI 1679859128
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1912038019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904118",
            "telephone_number": "845-988-5805",
            "fax_number": "914-988-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904118",
            "telephone_number": "845-988-5805",
            "fax_number": "914-988-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI CORPORATION AND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "CHEPKUUOV",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-988-5805"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024507",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02001256",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3308512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDI CORPORATION AND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ursula Dee Pysner, LCSW
• Patricia Helen Quinn, MS, LCAT, CASAC
• Ralph J Alvarez, MD, PLLC
• Jyothi H Rangadhama, M.D.
• Katherine Rechnio, LCSW-R
• Shanna Lyn Reid
• Michael W Reiver, PHARMD
• Beverley Rice, SLP
• Alison Richman, RDN
• Meghan C Ridolfo

• Community/Retail Pharmacy in Warwick, NY
• Providers in Warwick, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.