PARK RIDGE APOTHECARY, INC (NPI# 1285679415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285679415 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE APOTHECARY, INC |
| Other Organization Name | PARK RIDGE APOTHECARY INC |
| Practice Address |
1561 Long Pond Rd Ste 104 Rochester NY 14626-4117 |
| Practice Telephone | 5857237340 |
| Practice Fax Number | 5857237044 |
| Mailing Telephone | 5857237340 |
| Mailing Fax Number | 5857237044 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MARYLYNN DANDREA (SUPERVISOR,PIC,AO) |
| Authorized Official Telephone | 5857237340 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
019921 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01092626 | 05 | |
| PK | 2065525 | 01 |
| Other Name | Type Code |
|---|---|
| PARK RIDGE APOTHECARY INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417022526 | Park Ridge Apothecary, Inc | Pharmacy | 89 Genesee St, Rochester, NY 14611-3201 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PARK RIDGE APOTHECARY, INC. | 89 Genesee Street, Rochester, Ny 14611 |
| Street Address |
1561 LONG POND RD STE 104 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707905 | Tatiana Zilberberg | Pathology | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2005-08-10 |
| 1992365316 | Olusayo Sarah Akinboboye | Physician Assistant | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2019-06-18 |
| 1134660806 | Irene Jarema | Registered Nurse | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-03-15 |
| 1215474994 | Mark Stowell | Pharmacist | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-01-19 |
| 1881140168 | Sarai Shyday Huitt | Nurse Practitioner | 1561 Long Pond Rd, Suite 202, Rochester, NY 14626-4117 | 2016-08-28 |
| 1437534294 | Kathryn Maureen Godshalk | Physician Assistant | 1561 Long Pond Rd, Suite 303, Rochester, NY 14626-4117 | 2015-07-22 |
| 1871976480 | Galina Mikhalina | Internal Medicine | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2015-06-30 |
| 1043612401 | Lauren Marie Newson | Nurse Practitioner | 1561 Long Pond Rd, Suite 408, Rochester, NY 14626-4117 | 2014-09-17 |
| 1811251473 | Maysaa A Hameed | Internal Medicine | 1561 Long Pond Rd, Suite 480, Rochester, NY 14626-4117 | 2012-06-28 |
| 1770861726 | Patricia Ann Ryan | Nurse Practitioner | 1561 Long Pond Rd, 150, Rochester, NY 14626-4117 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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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| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1902319510 | Gleason Pharmacy Services Inc | Pharmacy | 441 S State St, Rochester, IL 62563-9297 | 2017-11-06 |
| 1275057572 | Walgreen Co | Pharmacy | 3122 Monroe Ave, Rochester, NY 14618-4606 | 2017-07-28 |
| 1821468299 | Hy Vee Inc | Pharmacy | 4221 W Circle Drive Nw, Rochester, MN 55901-8878 | 2015-09-29 |
| 1659765386 | Costco Wholesale Corporation | Pharmacy | 335 Westfall Rd, Rochester, NY 14620 | 2015-03-19 |
| 1275922072 | Trillium Health, Inc. | Pharmacy | 170 Science Pkwy, Rochester, NY 14620-4251 | 2015-01-16 |
| 1891109179 | New Clinton Pharmacy LLC | Pharmacy | 360 Saint Paul St, Rochester, NY 14605-1745 | 2014-06-16 |
| 1336586668 | University of Rochester | Pharmacy | 601 Elmwood Ave Rm 2-5425, Rochester, NY 14642-0001 | 2013-05-28 |
| Find all providers in ROCHESTER | ||||
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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.