Organization Active NPI

Koblins Pharmacy Inc

  • Community/Retail Pharmacy
  • Nyack, NY
National Provider Identifier
1952322927
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KOBLINS PHARMACY INC
Practice address
96 Main St
Nyack, NY 10960-3110
Phone
(845) 358-0688
Fax
(914) 358-7966
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gerald Koblin
Title
President
Phone
(845) 358-0688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 012806 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

96 Main St
Nyack, NY 10960-3110

Mailing address

96 Main St
Nyack, NY 10960-3110

Other identifiers 2

IdentifierTypeStateIssuer
00537797MedicaidNY
3341776OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

96 Main St
Nyack, NY 10960
Phone (845) 358-0688

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952322927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603110",
            "telephone_number": "845-358-0688",
            "fax_number": "914-358-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBLINS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KOBLIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-358-0688"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "012806",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00537797",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3341776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.