Active NPI
Stephen Thomas Spencer, PHARM D
- Pharmacist
- Mount Morris, NY
National Provider Identifier
1275765208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053542
- Practice address
- 40 E State St
Mount Morris, NY 14510-9727 - Phone
- (585) 658-9498
- NPI assigned
- Aug 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053542 | NY | Primary |
Addresses
Primary practice location
40 E State St
Mount Morris, NY 14510-9727
Mailing address
9283 Asbury Rd
Le Roy, NY 14482-8919
Phone (585) 502-5256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Pharmaceutical Group LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Honeoye Falls, NY
- NPI 1760931364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1275765208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9283 ASBURY RD",
"city": "LE ROY",
"state": "NY",
"postal_code": "144828919",
"telephone_number": "585-502-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 E STATE ST",
"city": "MOUNT MORRIS",
"state": "NY",
"postal_code": "145109727",
"telephone_number": "585-658-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "STEPHEN",
"middle_name": "THOMAS",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-08",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Morris, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.