Individual provider Active NPI

Carolyn Doran, RPH

  • Pharmacist
  • Liverpool, NY
National Provider Identifier
1124270400
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050363 Issued in NY
Practice address
7519 Oswego Rd
Attn: Pharmacy Manager
Liverpool, NY 13090-2927
Phone
(315) 622-2100
Fax
(315) 622-9900
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050363 NY Primary

Addresses

Primary practice location

7519 Oswego Rd
Attn: Pharmacy Manager
Liverpool, NY 13090-2927

Mailing address

1500 Brooks Ave
Attention Pharmacy Office
Rochester, NY 14624-3512
Phone (585) 279-4355

Other identifiers 1

IdentifierTypeStateIssuer
050363OtherNYPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
050363NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmans Food Markets, Inc. Past Accepting new patients
Wegmans Food Markets, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1124270400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROOKS AVE",
            "address_2": "ATTENTION PHARMACY OFFICE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243512",
            "telephone_number": "585-279-4355",
            "fax_number": "585-239-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7519 OSWEGO RD",
            "address_2": "ATTN: PHARMACY MANAGER",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902927",
            "telephone_number": "315-622-2100",
            "fax_number": "315-622-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "CAROLYN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "050363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.