Active NPI
Sandra M Brummer, PHARMD
- Pharmacist
- Blasdell, NY
National Provider Identifier
1285804278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049287
- Practice address
- 3740 McKinley Pkwy
Attn: Pharmacy Manager
Blasdell, NY 14219-2660 - Phone
- (716) 824-8013
- Fax
- (716) 824-2372
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 049287 | NY | Primary |
Addresses
Primary practice location
3740 McKinley Pkwy
Attn: Pharmacy Manager
Blasdell, NY 14219-2660
Mailing address
1500 Brooks Ave
Attn: Pharmacy Office
Rochester, NY 14624-3512
Phone (585) 239-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049287 | Other | NY | PHARMACIST LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049287 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1285804278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BROOKS AVE",
"address_2": "ATTN: PHARMACY OFFICE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243512",
"telephone_number": "585-239-2020",
"fax_number": "585-239-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 MCKINLEY PKWY",
"address_2": "ATTN: PHARMACY MANAGER",
"city": "BLASDELL",
"state": "NY",
"postal_code": "142192660",
"telephone_number": "716-824-8013",
"fax_number": "716-824-2372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMMER",
"first_name": "SANDRA",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "049287",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blasdell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.