CRM-Canandaigua LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CRM-CANANDAIGUA LLC

Doing business as

The Medicine Shoppe

Practice address

75 Victor Heights Pkwy Ste C
Victor, NY 14564-8926

Phone

(585) 337-4300

Fax

(585) 396-7264

NPI assigned

Feb 12, 2020

Last updated

Jan 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Hetrick

Title

C.O.O.

Phone

(585) 337-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1134751688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VICTOR HEIGHTS PKWY STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648926",
            "telephone_number": "585-337-4300",
            "fax_number": "585-396-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VICTOR HEIGHTS PKWY STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648926",
            "telephone_number": "585-337-4300",
            "fax_number": "585-396-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRM-CANANDAIGUA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "585-337-4300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03467627",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@canandaiguams.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "66 West Ave",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144241521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@medicineshoppepharm.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "75 Victor Heights Pkwy Ste C",
            "city": "Victor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145648926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Cox, LMHC
• Jordan Leigh Coykendall, NP
• Tanya Crandall
• Karen M Crawford
• Dominic Joseph Crisafulli, RPH
• CRM-Canandaigua LLC (The Medicine Shoppe Pharmacy)
• Julia Beth Croft, MSPT
• Ian Crosby, LCSW
• Kelly Crosby
• Erin Cummings

• Long Term Care Pharmacy in Victor, NY
• Providers in Victor, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.