Organization Active NPI

Mead Square Pharmacy Inc

  • Long Term Care Pharmacy
  • Victor, NY
National Provider Identifier
1104685908
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEAD SQUARE PHARMACY INC
Practice address
7249 State Route 96 Ste B
Victor, NY 14564-9009
Phone
(585) 364-8980
NPI assigned
Mar 15, 2024
Organization subpart
Yes
Parent organization
MEAD SQUARE PHARMACY,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Christopher Kevin CaseyNPI 1437225190
Title
Supervising Pharmacist
Phone
(585) 924-7970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

7249 State Route 96 Ste B
Victor, NY 14564-9009

Mailing address

7249 State Route 96 Ste B
Victor, NY 14564-9009
Phone (585) 364-8980

Other names 1

  • MSRX Medicase Other name

National Provider Directory

National Provider Directory
Tax ID family
Mead Square Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Mead Square Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7249 State Route 96
Ste B
Victor, NY 14564
Phone (585) 364-8980

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1104685908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7249 STATE ROUTE 96 STE B",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649009",
            "telephone_number": "585-364-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7249 STATE ROUTE 96 STE B",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649009",
            "telephone_number": "585-364-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAD SQUARE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEAD SQUARE PHARMACY,INC.",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "585-924-7970"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSRX Medicase",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.