Organization Active NPI

Medical Administrative Associates, Inc

Doing business as Highland Pharmacy at Brooks Landing

  • Clinic Pharmacy
  • Rochester, NY
National Provider Identifier
1366541278
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
027014 Issued in NY
Legal business name
MEDICAL ADMINISTRATIVE ASSOCIATES, INC
Doing business as
Highland Pharmacy at Brooks Landing
Practice address
910 Genesee St Ste a
Rochester, NY 14611-3847
Phone
(585) 602-1190
Fax
(585) 275-5119
NPI assigned
Sep 21, 2006
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Jason Smith, PHARMDNPI 1255514105
Title
Associate Director
Phone
(585) 275-9572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 027014 NY Primary

Addresses

Primary practice location

910 Genesee St Ste a
Rochester, NY 14611-3847

Mailing address

910 Genesee St Ste a
Rochester, NY 14611-3847
Phone (585) 602-1190

Other identifiers 2

IdentifierTypeStateIssuer
02672177MedicaidNY
2063765OtherPK

Other names 1

  • Highland Pharmacy at Brooks Landing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930010635 NY DME Supplier - Pharmacy 7719007020 Practice locations: Rochester, NY
O20210126001671 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7719007020 1 other NPI on this enrollment
Practice locations: Rochester, NY

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medical Administrative Associates,910 Genesee St, Rochester, NY 14611-3847(585) 602-1190 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Member of 1

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

Locations

910 Genesee St
Ste A
Rochester, NY 14611
Phone (585) 602-1190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1366541278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GENESEE ST STE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113847",
            "telephone_number": "585-602-1190",
            "fax_number": "585-275-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GENESEE ST STE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113847",
            "telephone_number": "585-602-1190",
            "fax_number": "585-275-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ADMINISTRATIVE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "585-275-9572",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "027014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672177",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Pharmacy at Brooks Landing",
            "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 Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.