NPIMap

Organization Active NPI

Robert Jacobson Pharmacy LTD

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1912995291
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
013192 Issued in NY
Legal business name
ROBERT JACOBSON PHARMACY LTD
Practice address
231 Ashburton Ave
Yonkers, NY 10701-3227
Phone
(914) 965-3049
Fax
(914) 965-5246
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mrs. Rita M Mattos, RPH
Title
Supervising Pharmacist / Owner
Phone
(914) 965-3049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 013192 NY Primary

Addresses

Primary practice location

231 Ashburton Ave
Yonkers, NY 10701-3227

Mailing address

231 Ashburton Ave
Yonkers, NY 10701-3227
Phone (914) 965-3049

Other identifiers 1

IdentifierTypeStateIssuer
00296171MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1912995291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ASHBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013227",
            "telephone_number": "914-965-3049",
            "fax_number": "914-965-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 ASHBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013227",
            "telephone_number": "914-965-3049",
            "fax_number": "914-965-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JACOBSON PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MATTOS",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST / OWNER",
        "authorized_official_telephone_number": "914-965-3049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "013192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00296171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.