Rosenkrans Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007943 Issued in NY

Legal business name

ROSENKRANS PHARMACY INC

Doing business as

Rosenkrans Pharmacy

Practice address

526 Main St
Medina, NY 14103-1421

Phone

(585) 798-1650

Fax

(585) 798-9632

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Amy Herman, RPHNPI 1336104090

Title

Managing Pharmacist

Phone

(585) 798-1650

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• ROSENKRANS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

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

• Rosenkrans Pharmacy Inc

  dba Hilton Family Pharmacy

  • Community/Retail Pharmacy
  • Hilton, NY
  • NPI 1790907236

  5799805370

  Same PAC ID
• Rosenkrans Pharmacy Inc

  dba Oakfield Family Pharmacy

  • Community/Retail Pharmacy
  • Oakfield, NY
  • NPI 1972696300

  5799805370

  Same PAC ID

Locations

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.

• Amy Sue Herman, PHARMD.

  • Pharmacist
  • Medina, NY
  • NPI 1336104090
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1386733079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031421",
            "telephone_number": "585-798-1650",
            "fax_number": "585-798-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 MAIN ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031421",
            "telephone_number": "585-798-1650",
            "fax_number": "585-798-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENKRANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGING PHARMACIST",
        "authorized_official_telephone_number": "585-798-1650",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "007943",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061465",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSENKRANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROSENKRANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syed Hasan Raza, MD
• Cynthia M Reigle, LPN
• Mary Elizabeth Remollino, PA
• Jennifer Rider, LPN
• Rite Aid of New York Inc (Rite Aid Pharmacy 00665)
• Rosenkrans Pharmacy Inc
• Marcel Rozario, NP
• Brittany Nicole Rudd, DPT
• Khurrum Sanaullah, M.D.
• James Mitchell Sannes, PHARMACIST

• Community/Retail Pharmacy in Medina, NY
• Providers in Medina, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.