Active NPI
Susan Perry Denoto
- Pharmacist
- Webster, NY
National Provider Identifier
1356517882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047723
- Practice address
- 1050 Ridge Rd
Target
Webster, NY 14580 - Phone
- (585) 216-3001
- NPI assigned
- May 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 | 047723 | NY | Primary |
Addresses
Primary practice location
1050 Ridge Rd
Target
Webster, NY 14580
Mailing address
25 Monteroy Rd
Rochester, NY 14618-1211
Phone (585) 721-3158
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047723 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1356517882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MONTEROY RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146181211",
"telephone_number": "585-721-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 RIDGE RD",
"address_2": "TARGET",
"city": "WEBSTER",
"state": "NY",
"postal_code": "14580",
"telephone_number": "585-216-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENOTO",
"first_name": "SUSAN",
"middle_name": "PERRY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.