Park Ridge Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025528 Issued in NY

Legal business name

PARK RIDGE APOTHECARY INC

Doing business as

Genesee Campus Apothecary

Practice address

89 Genesee St
Rochester, NY 14611-3201

Phone

(585) 368-3928

Fax

(585) 368-3929

NPI assigned

Aug 18, 2006

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura SpeidelNPI 1902968738

Title

Supervising Pharmacist

Phone

(585) 368-3928

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GENESEE CAMPUS APOTHECARY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Park Ridge Apothecary Inc

  dba Clifton Springs Pharmacy

  • Community/Retail Pharmacy
  • Clifton Springs, NY
  • NPI 1871221358

  O20171016002648

  Same enrollment
• Park Ridge Apothecary, Inc

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1285679415

  O20171016002648

  Same enrollment

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.

• Laura J. Speidel, RPH

  • Pharmacist
  • Rochester, NY
  • NPI 1902968738
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1558475525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-3928",
            "fax_number": "585-368-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-3928",
            "fax_number": "585-368-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SPEIDEL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "585-368-3928"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060041",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02569822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENESEE CAMPUS APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Couch Paris, MA, CCC-SP
• Keely R Parisian, MD
• Park Ave Taxi, LLC (Park Ave Taxi)
• Park Dental Associates, PLLC
• Park Family Dental, PLLC
• Park Ridge Apothecary, Inc
• Park Ridge Apothecary, Inc (Parkway Apothecary)
• Park Ridge Hearing Center (Better Hearing Centers)
• Park Ridge Living Center (PRNH Inc Day Care)
• Park Ridge Living Center

• Community/Retail Pharmacy in Rochester, NY
• Providers in Rochester, 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 Feb 20, 2017; 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.