Provider Demographics
NPI:1306882220
Name:ROCKLAND PHARMACY INC.
Entity type:Organization
Organization Name:ROCKLAND PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHESKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EIGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-356-3045
Mailing Address - Street 1:27 ORCHARD ST
Mailing Address - Street 2:STE 111
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3047
Mailing Address - Country:US
Mailing Address - Phone:845-356-3045
Mailing Address - Fax:845-356-3108
Practice Address - Street 1:24-27 ORCHARD ST
Practice Address - Street 2:STE 111
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952
Practice Address - Country:US
Practice Address - Phone:845-356-3045
Practice Address - Fax:845-356-3108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336C0004X
NY0272833336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02689256Medicaid
2064734OtherPK
2064734OtherPK