ST JOHNS HEALTH CARE CORPORATION (NPI# 1275546863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275546863 |
Entity Type | Organization |
Organization Name | ST JOHNS HEALTH CARE CORPORATION |
Other Organization Name | ST JOHNS HEALTH CARE CORP |
Practice Address |
150 Highland Ave Rochester NY 14620-3024 |
Practice Telephone | 5857601208 |
Practice Fax Number | 5857601543 |
Mailing Telephone | 5857601208 |
Mailing Fax Number | 5857601543 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2013-03-25 |
Authorized Official Name | RICHARD MUFFORD (CHIEF PHARMAST) |
Authorized Official Telephone | 5857601439 |
Authorized Official Credential | PHARM.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
022945 | NY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02212224 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3321320 | 01 |
Other Name | Type Code |
---|---|
ST JOHNS HEALTH CARE CORP | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164425971 | St Johns Health Care Corporation | Occupational Therapist | 150 Highland Avenue, Rochester, NY 14620 | 2005-05-24 |
Street Address |
150 HIGHLAND AVE |
City | ROCHESTER |
State | NY |
Zip Code | 14620-3024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394480 | Janet Mcnally | Nurse Practitioner | 150 Highland Ave, Rochester, NY 14620-3024 | 2005-05-27 |
1730735333 | Mary Jo Strassell | Physical Therapy Assistant | 150 Highland Ave, Rochester, NY 14620-3024 | 2019-08-11 |
1427618362 | Stephanie Desiato | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2019-06-13 |
1992210918 | Allison Maureen Smith | Physical Medicine & Rehabilitation | 150 Highland Ave, Rochester, NY 14620-3024 | 2017-12-13 |
1619499688 | Jenna Marie Nauerth | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2017-07-12 |
1912444506 | Rinki Rajesh Varindani | Speech-Language Pathologist | 150 Highland Ave, Rochester, NY 14620-3024 | 2017-01-21 |
1023569316 | Jill Abbey | Occupational Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-10-20 |
1598116766 | Lauren Park | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-06-28 |
1205285418 | Cara Bunn | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-06-08 |
1245689884 | Sara Lyautey | Occupational Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-06-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
Find all providers in zip 14620 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1811009335 | Omnicare of New York, LLC | Pharmacy | 175 Humboldt St, Suite 225, Rochester, NY 14610-1060 | 2006-08-31 |
1700872280 | Hunt Silver Lake Drug Inc | Pharmacy | 1512 Broadway Ave N, Rochester, MN 55906 | 2005-09-21 |
1003101338 | Genoa Healthcare, LLC | Pharmacy | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2011-06-15 |
1487972246 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 250 Wallace Way, Rochester, NY 14624 | 2010-05-04 |
1740344654 | Rochester Psychiatric Center | Pharmacy | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2006-12-22 |
1417022526 | Park Ridge Apothecary, Inc | Pharmacy | 89 Genesee St, Rochester, NY 14611-3201 | 2006-11-22 |
1336256155 | University of Rochester | Pharmacy | 5901 Lac De Ville Blvd, Rochester, NY 14618-5600 | 2006-08-25 |
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1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.