NPIMap

Organization Active NPI

University of Rochester

Doing business as Strong Outpatient Satellite (ID) Room 3-5022

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1386973717
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022767 Issued in NY
Legal business name
UNIVERSITY OF ROCHESTER
Doing business as
Strong Outpatient Satellite (ID) Room 3-5022
Practice address
601 Elmwood Ave # 638
Room 3-5022
Rochester, NY 14642-0001
Phone
(585) 275-6301
Fax
(585) 506-0367
NPI assigned
Dec 14, 2009
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Timothy WarnerNPI 1275856536
Title
Associate Director of Pharmacy
Phone
(585) 275-9572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022767 NY Primary

Addresses

Primary practice location

601 Elmwood Ave # 638
Room 3-5022
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Room 3-5022
Rochester, NY 14642-0001
Phone (585) 275-6301

Other identifiers 2

IdentifierTypeStateIssuer
02976534MedicaidNY
3363493OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Strong Outpatient Satellite (ID) Room 3-5022 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jau S Lou MD30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

601 Elmwood Ave
Rm 35022
Rochester, NY 14642
Phone (585) 275-6301

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": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1386973717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "ROOM 3-5022",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-6301",
            "fax_number": "585-506-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE # 638",
            "address_2": "ROOM 3-5022",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-6301",
            "fax_number": "585-506-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "585-275-9572"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02976534",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strong Outpatient Satellite (ID) Room 3-5022",
            "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 Jan 7, 2013; 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.