NPIMap

Organization Active NPI

St Johns Health Care Corporation

Doing business as St Johns Health Care Corp

  • Long Term Care Pharmacy
  • Rochester, NY
National Provider Identifier
1275546863
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
022945 Issued in NY
Legal business name
ST JOHNS HEALTH CARE CORPORATION
Doing business as
St Johns Health Care Corp
Practice address
150 Highland Ave
Rochester, NY 14620-3024
Phone
(585) 760-1208
Fax
(585) 760-1543
NPI assigned
Aug 14, 2006
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Richard Mufford, PHARM.D.
Title
Chief Pharmast
Phone
(585) 760-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 022945 NY Primary

Addresses

Primary practice location

150 Highland Ave
Rochester, NY 14620-3024

Mailing address

150 Highland Ave
Rochester, NY 14620-3024
Phone (585) 760-1208

Other identifiers 2

IdentifierTypeStateIssuer
02212224MedicaidNY
3321320OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ST JOHNS HEALTH CARE CORP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Johns Health Care Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1275546863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203024",
            "telephone_number": "585-760-1208",
            "fax_number": "585-760-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203024",
            "telephone_number": "585-760-1208",
            "fax_number": "585-760-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "MUFFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF PHARMAST",
        "authorized_official_telephone_number": "585-760-1439",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "022945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212224",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3321320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHNS HEALTH CARE CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.