Active NPI
Jerald Lawrence Passer, RPH
- Pharmacist
- Rochester, NY
National Provider Identifier
1619033735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28757
- Practice address
- 2833 Ridge Rd W
Rochester, NY 14626-1632 - Phone
- (585) 723-6020
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28757 | NY | Primary |
Addresses
Primary practice location
2833 Ridge Rd W
Rochester, NY 14626-1632
Mailing address
PO Box 668
(5164 Blue Heron Way)
Honeoye, NY 14471-0668
Phone (585) 229-5474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28757 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619033735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 668",
"address_2": "(5164 BLUE HERON WAY)",
"city": "HONEOYE",
"state": "NY",
"postal_code": "144710668",
"telephone_number": "585-229-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2833 RIDGE RD W",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146261632",
"telephone_number": "585-723-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSER",
"first_name": "JERALD",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "28757",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.