Spencerport Family Apothecary, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032671 Issued in NY

Legal business name

SPENCERPORT FAMILY APOTHECARY, LLC

Practice address

5017 W Ridge Rd Ste D
Spencerport, NY 14559-1568

Phone

(585) 349-3562

Fax

(585) 349-3564

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Eric M. Schladebeck, PHARM DNPI 1013194125

Title

Owner/Pic

Phone

(585) 349-3562

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These 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

Locations

Practitioners 2

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

• Eric M. Schladebeck, PHARM D.

  • Pharmacist
  • Spencerport, NY
  • NPI 1013194125
  NPD Authorized official
• Lauren Jarvis, PHARM D

  • Pharmacist
  • Spencerport, NY
  • NPI 1902770415
  NPD

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1184047987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 W RIDGE RD STE D",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591568",
            "telephone_number": "585-349-3562",
            "fax_number": "585-349-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 W RIDGE RD STE D",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591568",
            "telephone_number": "585-349-3562",
            "fax_number": "585-349-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCERPORT FAMILY APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHLADEBECK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "585-349-3562",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032671",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04044524",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147657",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Smith
• Jessica Smith, LPN
• Rosemary Smith
• Spencerport Central School District
• Spencerport CSD
• Spencerport Family Eye Care
• Spencerport Family Eyecare
• Spencerport School District
• Spencerport Schools
• Spencerport Volunteer Ambulance Service Inc

• Community/Retail Pharmacy in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.

Verify at the official NPI Registry.