Genesee Valley Group Health Association

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PH29887 Issued in FL

Legal business name

GENESEE VALLEY GROUP HEALTH ASSOCIATION

Practice address

77 Sullys TRL
Pittsford, NY 14534-3784

Phone

(585) 248-8340

Fax

(585) 385-0779

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Urbanski, RPH

Title

Manager, Pharmacy Services

Phone

(716) 689-3420

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• LIFETIME HEALTH MEDICAL GROUP Doing business as

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1245375377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261018",
            "telephone_number": "716-689-3420",
            "fax_number": "716-689-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343784",
            "telephone_number": "585-248-8340",
            "fax_number": "585-385-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY GROUP HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "URBANSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER, PHARMACY SERVICES",
        "authorized_official_telephone_number": "716-689-3420",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "019587",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH29887",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01853790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFETIME HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Joseph Gavin, MD
• Gene M Zito, MD PLLC
• Kanoa General, LMT
• Genesee Valley Group Health Association
• Genesee Valley Group Health Association
• Genesee Valley Group Health Association
• Jessica Lynne Gentile
• Get-It-Straight Orthodontics, P.C.
• Terry A. Giangreco, D.D.S., M.S.
• Rachel Lauren Giordanella, LMHC

• Clinic Pharmacy in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinic Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.