Organization Active NPI

Metcarerx Brown Square Pharmaceutical Services LLC

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1568667343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028295 Issued in NY
Legal business name
METCARERX BROWN SQUARE PHARMACEUTICAL SERVICES LLC
Practice address
322 Lake Ave
Rochester, NY 14608-1017
Phone
(585) 254-6480
Fax
(585) 235-2372
NPI assigned
Jun 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Seide
Title
Senior VP
Phone
(973) 857-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028295 NY Primary

Addresses

Primary practice location

322 Lake Ave
Rochester, NY 14608-1017

Mailing address

322 Lake Ave
Rochester, NY 14608-1017
Phone (585) 254-6480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568667343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081017",
            "telephone_number": "585-254-6480",
            "fax_number": "585-235-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081017",
            "telephone_number": "585-254-6480",
            "fax_number": "585-235-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARERX BROWN SQUARE PHARMACEUTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIDE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "973-857-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028295",
            "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 Aug 22, 2020; 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.