Organization Active NPI

Khan Pharmacy Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1558413401
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020667 Issued in NY
Legal business name
KHAN PHARMACY INC
Doing business as
Medicine Shoppe
Practice address
545 Titus Ave
Rochester, NY 14617-3538
Phone
(585) 266-5685
Fax
(585) 266-5689
NPI assigned
Jan 18, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Masood H Khan, RPHNPI 1598848913
Title
Pharmacist
Phone
(585) 266-5685

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 020667 NY Primary

Addresses

Primary practice location

545 Titus Ave
Rochester, NY 14617-3538

Mailing address

545 Titus Ave
Rochester, NY 14617-3538
Phone (585) 266-5685

Other identifiers 2

IdentifierTypeStateIssuer
01188449MedicaidNY
3395654OtherNYNCPDP #

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

545 Titus Ave
Rochester, NY 14617
Phone (585) 266-5685

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558413401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173538",
            "telephone_number": "585-266-5685",
            "fax_number": "585-266-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173538",
            "telephone_number": "585-266-5685",
            "fax_number": "585-266-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "585-266-5685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01188449",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3395654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "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 Mar 7, 2023; 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.