Active NPI
Susan Grace Reeves, RPH
- Pharmacist
- Rochester, NY
National Provider Identifier
1124244249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036907
- Practice address
- 3660 Dewey Ave
Rochester, NY 14616-3026 - Phone
- (585) 621-5600
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036907 | NY | Primary |
Addresses
Primary practice location
3660 Dewey Ave
Rochester, NY 14616-3026
Mailing address
16 Springbrook Dr
North Chili, NY 14514-1221
Phone (585) 594-5929
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036907 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124244249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SPRINGBROOK DR",
"city": "NORTH CHILI",
"state": "NY",
"postal_code": "145141221",
"telephone_number": "585-594-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 DEWEY AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146163026",
"telephone_number": "585-621-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "SUSAN",
"middle_name": "GRACE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036907",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.