Individual provider Active NPI

Tina Marion Nersinger, RPH

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1366765612
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041948-1 Issued in NY
Practice address
100 Elm Ridge Center Dr
Rochester, NY 14626-3459
Phone
(585) 227-1210
Fax
(585) 227-4808
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041948-1 NY Primary

Addresses

Primary practice location

100 Elm Ridge Center Dr
Rochester, NY 14626-3459

Mailing address

100 Elmridge Center Dr
Rochester, NY 14626-3459
Phone (585) 227-1210

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041948-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1366765612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELMRIDGE CENTER DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263459",
            "telephone_number": "585-227-1210",
            "fax_number": "585-227-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELM RIDGE CENTER DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263459",
            "telephone_number": "585-227-1210",
            "fax_number": "585-227-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERSINGER",
        "first_name": "TINA",
        "middle_name": "MARION",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041948-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 1, 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.

Verify at the official NPI Registry.