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Rochester General Hospital

Organization Active NPI Community/Retail Pharmacy · Rochester, NY

NPI 1255847489 · NPPES record last updated Apr 17, 2020

Key facts

NPI
1255847489
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
ROCHESTER GENERAL HOSPITAL
Practice address
1425 Portland Ave BLDG 1
Rochester, NY 14621-3011
Phone
(585) 338-4973
NPI assigned
Dec 26, 2017
Organization subpart
No

Authorized official

Name
Renee Price
Title
Billing & Compliance Specialist
Phone
(585) 922-3970

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Practitioners 1,192

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

View all 1,192

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rochester General Hospital
1425 Portland Ave, Rochester, NY 14621-3011 · (585) 338-4973		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Oct 1, 1984

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180921000059 NY Part B Supplier - Pharmacy 0244149474 Practice locations: Rochester, NY
O20200420003352 NY DME Supplier - Pharmacy 0244149474 Practice locations: Rochester, NY

National Provider Directory

Tax ID family
Long Pond Medical Group (31 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1425 Portland Ave BLDG 1
Rochester, NY 14621-3011

Mailing address

1425 Portland Ave BLDG 1
Rochester, NY 14621-3011
Phone (585) 338-4973

Other names

  • Wilson Pharmacy Doing business as

Other providers in Rochester, NY

All providers in Rochester, NY · Community/Retail Pharmacy in New York

Sources for this page

Verify at the official NPI Registry.