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GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI 1962591875


NPI Information

NPI: 1962591875
Provider Name: GENESEE VALLEY GROUP HEALTH ASSOCIATION

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
800 CARTER ST
ROCHESTER, NY
ZIP 14621
Phone: (585) 338-4972
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GENESEE VALLEY GROUP HEALTH ASSOCIATION is a clinic pharmacy pharmacy in Rochester, NY. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI is 1962591875. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

800 CARTER ST
ROCHESTER, NY
ZIP 14621-604
Phone: (585) 338-4972
Fax: (585) 336-4848

The provider's authorized official is Stephen Urbanski .
The authorized official title is Manager, Pharmacy Services and has the following contact phone number (716) 689-3420.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/31/2016.


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
13336I0012XPharmacyInstitutional PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
4333600000XPharmacyNo
53336M0002XPharmacyMail Order PharmacyNo
6332B00000XDurable Medical Equipment & Medical Supplies014289NEW YORKNo
73336C0002XPharmacyClinic PharmacyPH29882FLORIDAYes

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
103001865MEDICAIDNEW YORK
22063768OTHERPK
31307940003MEDICARE NSC

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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