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PARK RIDGE APOTHECARY INC NPI 1417022526


NPI Information

NPI: 1417022526
Provider Name: PARK RIDGE APOTHECARY, INC

Doing Business As: PARKWAY APOTHECARY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
89 GENESEE ST
ROCHESTER, NY
ZIP 14611
Phone: (585) 368-3930
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PARK RIDGE APOTHECARY, INC is a long term care pharmacy pharmacy in Rochester, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PARK RIDGE APOTHECARY, INC NPI is 1417022526. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkway Apothecary.

The provider's business location address is:

89 GENESEE ST
ROCHESTER, NY
ZIP 14611-201
Phone: (585) 368-3930
Fax: (585) 368-3933

The provider's authorized official is Warren Hern .
The authorized official title is Executive Vice President Cfo and has the following contact phone number (585) 368-3295.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy021849NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101430102MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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