Monroe Avenue Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031215 Issued in NY

Legal business name

MONROE AVENUE PHARMACY INC

Doing business as

Rushville Pharmacy

Practice address

2 South Main St
Rushville, NY 14544

Phone

(585) 554-4001

NPI assigned

May 2, 2012

Last updated

Nov 23, 2012By 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

Dana Gignac

Title

Supervising R.PH.

Phone

(585) 554-4001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rushville Pharmacy Doing business as

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1235497801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH MAIN ST",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "14544",
            "telephone_number": "585-554-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SOUTH MAIN ST",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "14544",
            "telephone_number": "585-554-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "GIGNAC",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "SUPERVISING R.PH.",
        "authorized_official_telephone_number": "585-554-4001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5805075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rushville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Rushville, NY
• Providers in Rushville, 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 Nov 23, 2012; 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.