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University of Rochester

Organization Active NPI Community/Retail Pharmacy · Rochester, NY

NPI 1336256155 · NPPES record last updated Jan 18, 2018

Key facts

NPI
1336256155
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
027777 (NY)
Legal business name
UNIVERSITY OF ROCHESTER
Practice address
5901 Lac de Ville Blvd
Rochester, NY 14618-5600
Phone
(585) 271-3164
Fax
(585) 271-1811
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

Name
Jason Smith, RPH
Title
Associate Director of Outpatient PH
Phone
(585) 785-5193

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 29

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

View all 29

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 960

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

View all 960

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
University of Rochester
5901 Lac de Ville Blvd, Rochester, NY 14618-5600 · (585) 271-3164		 Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignment
Participating since Oct 1, 1984

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highland Hospital of Rochester
Rochester, NY · CCN 330164		 Hospital 5% Or Greater Security Interest (100%) Jul 1, 1966
Huntington Living Center
Waterloo, NY · CCN 335879		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2023
Dec 26, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930062573 NY DME Supplier - Pharmacy 5799699088 Practice locations: Rochester, NY

National Provider Directory

Tax ID family
University of Rochester Strong Memorial Hospital (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 027777 NY Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

5901 Lac de Ville Blvd
Rochester, NY 14618-5600

Mailing address

5901 Lac de Ville Blvd
Rochester, NY 14618-5600
Phone (585) 271-3164

Other identifiers

IdentifierTypeStateIssuer
2068329OtherPK
3341586MedicaidNY

Other names

  • UNIVERSITY ROCHESTER LONG TERM CARE 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.