Organization Active NPI

Ro Paul Drug Corp

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1942297247
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
010826 Issued in NY
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

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Alan Rattiner, RPHNPI 1760479067
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2060614OtherPK
00260673MedicaidNY

Other names 1

  • TOWER PHARMACY AND SURGICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000875 NY DME Supplier - Pharmacy 8426225566 Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.