Active NPI
Lynne Puccia, RPH
- Pharmacist
- Rochester, NY
National Provider Identifier
1386052512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059540
- Practice address
- 2301 Lyell Ave
Rochester, NY 14606-5735 - Phone
- (585) 429-5590
- Fax
- (585) 429-5705
- NPI assigned
- Jul 31, 2014
- Last updated
- Jul 31, 2014
- 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 | 059540 | NY | Primary |
Addresses
Primary practice location
2301 Lyell Ave
Rochester, NY 14606-5735
Mailing address
2301 Lyell Ave
Rochester, NY 14606-5735
Phone (585) 429-5590
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
| License | State | Type | Specialty |
|---|---|---|---|
| 059540 | NY | MD | Pharmacist |
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": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1386052512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LYELL AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146065735",
"telephone_number": "585-429-5590",
"fax_number": "585-429-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LYELL AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146065735",
"telephone_number": "585-429-5590",
"fax_number": "585-429-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCCIA",
"first_name": "LYNNE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059540",
"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 Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.