Individual provider Active NPI

Gary Ray Hamilton, RPH, MBA

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1659551844
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039101 Issued in NY
Practice address
710 Lake Ave
Pharmacy Dept.
Rochester, NY 14613-2410
Phone
(585) 254-2480
Fax
(585) 254-6953
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 039101 NY Primary

Addresses

Primary practice location

710 Lake Ave
Pharmacy Dept.
Rochester, NY 14613-2410

Mailing address

710 Lake Ave
Pharmacy Dept.
Rochester, NY 14613-2410
Phone (585) 254-2480

Other identifiers 2

IdentifierTypeStateIssuer
039101OtherNYPHARMACY
01953442OtherNYPHARMACY

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
039101NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1659551844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LAKE AVE",
            "address_2": "PHARMACY DEPT.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146132410",
            "telephone_number": "585-254-2480",
            "fax_number": "585-254-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAKE AVE",
            "address_2": "PHARMACY DEPT.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146132410",
            "telephone_number": "585-254-2480",
            "fax_number": "585-254-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "GARY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "039101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "01953442",
            "state": "NY"
        }
    ],
    "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 Nov 6, 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.

Verify at the official NPI Registry.