Rochester General Long Term Care, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

024859 Issued in NY

Legal business name

ROCHESTER GENERAL LONG TERM CARE, INC

Doing business as

Hill Haven LTC Pharmacy

Practice address

1550 Empire Blvd
Webster, NY 14580-2104

Phone

(585) 922-2394

Fax

(585) 922-2333

NPI assigned

Sep 27, 2006

Last updated

Sep 21, 2017By 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

Mr. Mark Clement

Title

President

Phone

(585) 922-2394

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• HILL HAVEN LTC PHARMACY Doing business as
• Rochester General LTC Inc Former legal business name

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1205927050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802104",
            "telephone_number": "585-922-2394",
            "fax_number": "585-922-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802104",
            "telephone_number": "585-922-2394",
            "fax_number": "585-922-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER GENERAL LONG TERM CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-922-2394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "024859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILL HAVEN LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rochester General LTC Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Long Term Care Pharmacy in Webster, NY
• Providers in Webster, 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 Sep 21, 2017; 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.