Active NPI
United Memorial Medical Center
Doing business as United Memorial Medical Center Outpatient Pharmacy
- Community/Retail Pharmacy
- Batavia, NY
National Provider Identifier
1164854451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- UNITED MEMORIAL MEDICAL CENTER
- Doing business as
- United Memorial Medical Center Outpatient Pharmacy
- Practice address
- 127 North St
Batavia, NY 14020-1631 - Phone
- (585) 344-5263
- NPI assigned
- Aug 8, 2013
- Last updated
- Dec 13, 2013
- Organization subpart
- Yes
- Parent organization
- UNITED MEMORIAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark C. Schoell
- Title
- President and Ceo
- Phone
- (585) 344-5495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
127 North St
Batavia, NY 14020-1631
Mailing address
127 North St
Batavia, NY 14020-1631
Phone (585) 344-5263
Other names 1
- United Memorial Medical Center Outpatient Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140609000244 | NY | DME Supplier - Pharmacy | 0547259376 | Practice locations: Batavia, NY |
| O20221130002036 | NY | Part B Supplier - Pharmacy | 0547259376 | Practice locations: Batavia, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| United Memorial Medical Center | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- United Memorial Med Center
- Part of
- United Memorial Med Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Batavia, NY
- NPI 1528337284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386892800000",
"number": "1164854451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 NORTH ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201631",
"telephone_number": "585-344-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 NORTH ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201631",
"telephone_number": "585-344-5263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED MEMORIAL MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNITED MEMORIAL MEDICAL CENTER",
"enumeration_date": "2013-08-08",
"last_updated": "2013-12-13",
"status": "A",
"authorized_official_last_name": "SCHOELL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "585-344-5495",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "United Memorial Medical Center Outpatient Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.