Portland Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PORTLAND PHARMACY INC

Doing business as

Portland Pharmacy Inc LTC

Practice address

1295 Portland Ave Ste 2
Rochester, NY 14621-2726

Phone

(585) 537-7081

Fax

(585) 568-7909

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 2024By 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

Malik Ahmed ShaibiNPI 1922606938

Title

Supervising Pharmacy

Phone

(313) 442-2400

Specialties & licenses 1

Addresses

Other names 1

• PORTLAND PHARMACY INC LTC Doing business as

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.

• Malik Ahmed Shaibi, RPH

  • Pharmacist
  • Rochester, NY
  • NPI 1922606938
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1588495659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 PORTLAND AVE STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212726",
            "telephone_number": "585-537-7081",
            "fax_number": "585-568-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PORTLAND AVE STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212726",
            "telephone_number": "585-537-7081",
            "fax_number": "585-568-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "SHAIBI",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "SUPERVISING PHARMACY",
        "authorized_official_telephone_number": "313-442-2400"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTLAND PHARMACY INC LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portilla's Transportation
• Latayna Portis, LPN
• Portland Orthopaedic Associates LLC
• Portland Pediatric Group, LLP
• Portland Pharmacy Inc (Portland Pharmacy)
• Portland Physician P.C.
• Daneal Portman, MD
• Bruce Stephen Portner, M.D.
• Denise Porto
• Michelle B Porto

• Long Term Care Pharmacy in Rochester, NY
• Providers in Rochester, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.