Healthcare Provider Details

I. General information

NPI: 1346161247
Provider Name (Legal Business Name): RUPANGI RASTOGI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N MIDLAND AVE
NYACK NY
10960-1912
US

IV. Provider business mailing address

14 WAGON TRL
MAHWAH NJ
07430-3510
US

V. Phone/Fax

Practice location:
  • Phone: 845-348-2601
  • Fax:
Mailing address:
  • Phone: 617-835-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number061342
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: