Active NPI
Ro Paul Drug Corp
- Community/Retail Pharmacy
- Jamaica, NY
National Provider Identifier
1942297247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 010826
- Legal business name
- RO PAUL DRUG CORP
- Practice address
- 185 12 Hillside Ave
Jamaica, NY 11432-4860 - Phone
- (718) 526-1121
- Fax
- (718) 526-1272
- NPI assigned
- Oct 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Rattiner, RPH
- Title
- Pres RPH CF
- Phone
- (718) 526-1121
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 010826 | NY | Primary |
Addresses
Primary practice location
185 12 Hillside Ave
Jamaica, NY 11432-4860
Mailing address
185 12 Hillside Ave
Jamaica, NY 11432-4860
Phone (718) 526-1121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060614 | Other | PK | |
| 00260673 | Medicaid | NY |
Other names 1
- TOWER PHARMACY AND SURGICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120112000875 | NY | DME Supplier - Pharmacy | 8426225566 | Practice locations: Jamaica, NY |
National Provider Directory
National Provider DirectoryLocations
18512 Hillside Ave
Jamaica, NY 11432
Phone (718) 526-1121
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
- Jamaica, NY
- NPI 1760479067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1942297247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 12 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324860",
"telephone_number": "718-526-1121",
"fax_number": "718-526-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 12 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324860",
"telephone_number": "718-526-1121",
"fax_number": "718-526-1272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RO PAUL DRUG CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-01",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "RATTINER",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PRES RPH CF",
"authorized_official_telephone_number": "718-526-1121",
"authorized_official_credential": "RPH"
},
"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": "010826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2060614",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00260673",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOWER PHARMACY AND SURGICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.