Healthcare Provider Details

I. General information

NPI: 1770657298
Provider Name (Legal Business Name): RMH RETAIL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N JAMES ST
ROME NY
13440-2844
US

IV. Provider business mailing address

1500 N JAMES ST
ROME NY
13440-2844
US

V. Phone/Fax

Practice location:
  • Phone: 315-338-7690
  • Fax: 315-338-7697
Mailing address:
  • Phone: 315-338-7690
  • Fax: 315-338-7697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number024915
License Number StateNY

VIII. Authorized Official

Name: BRIANNA KUBIK
Title or Position: SUPERVISING PHARMACIST
Credential: R PH
Phone: 315-338-7690