Active NPI
Medical Administrative Associates, Inc
- Community/Retail Pharmacy
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022533
- Legal business name
- MEDICAL ADMINISTRATIVE ASSOCIATES, INC
- Practice address
- 777 Clinton Ave S
Rochester, NY 14620-1448 - Phone
- (585) 279-4790
- Fax
- (585) 242-7355
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Smith, PHARMD
- Title
- Chief of Pharmacy
- Phone
- (585) 785-5193
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 022533 | NY | Primary |
Addresses
Primary practice location
777 Clinton Ave S
Rochester, NY 14620-1448
Mailing address
777 Clinton Ave S
Rochester, NY 14620-1448
Phone (585) 279-4790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2059259 | Other | PK | |
| 01577908 | Medicaid | NY |
Other names 1
- The Highland Southwedge Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930012155 | NY | DME Supplier - Pharmacy | 7719007020 | Practice locations: Rochester, NY |
| O20210126001671 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719007020 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rochester, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medical Administrative Associates | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rochester, NY
- NPI 1255514105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1689693897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 CLINTON AVE S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201448",
"telephone_number": "585-279-4790",
"fax_number": "585-242-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CLINTON AVE S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201448",
"telephone_number": "585-279-4790",
"fax_number": "585-242-7355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ADMINISTRATIVE ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CHIEF OF PHARMACY",
"authorized_official_telephone_number": "585-785-5193",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "022533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2059259",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01577908",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Highland Southwedge Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
- Jon C. Meccarello, PH.D,
- Med Graph, Inc.
- Lori Elizabeth Medeiros, MD
- Medicab of Rochester Inc
- Medical Administrative Associates, Inc
- Medical Escort Transportation
- Medical Motor Service of Rochester & Monroe County, Inc.
- Medical Solutions, Inc.
- Medical Specialty Group Dept of
- Annette M Medina-Walpole, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.