Individual provider Active NPI

Aleksandr Fesyuk

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Rochester, NY
National Provider Identifier
1104330828
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
058859 Issued in NY
Practice address
1659 Penfield Rd
Rochester, NY 14625-2549
Phone
(585) 419-0560
Fax
(585) 419-0552
NPI assigned
Nov 17, 2017
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 058859 NY Primary

Addresses

Primary practice location

1659 Penfield Rd
Rochester, NY 14625-2549

Mailing address

1659 Penfield Rd
Rochester, NY 14625-2549
Phone (585) 419-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 26, 2022 Accepting new patients
Walgreen Co PastSince Jun 26, 2022 Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients

Locations

1659 Penfield Rd
Rochester, NY 14625
Phone (585) 419-0560

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104330828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252549",
            "telephone_number": "585-419-0560",
            "fax_number": "585-419-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252549",
            "telephone_number": "585-419-0560",
            "fax_number": "585-419-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESYUK",
        "first_name": "ALEKSANDR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "058859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.