Monroe Avenue Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

029987 Issued in NY

Legal business name

MONROE AVENUE PHARMACY INC

Practice address

2341 Monroe Ave
Rochester, NY 14618-3024

Phone

(585) 271-7716

Fax

(585) 461-9175

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Rene Gignac

Title

Owner

Phone

(585) 271-7716

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• monroe ave pharmacy Doing business as

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1720301757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183024",
            "telephone_number": "585-271-7716",
            "fax_number": "585-461-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183024",
            "telephone_number": "585-271-7716",
            "fax_number": "585-461-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "GIGNAC",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-271-7716"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029987",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "monroe ave pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip C Mongiovi, M.D.
• Salvatore Mongiovi, MHC
• Rebeca Monk, MD
• Kelsey Ann Monkelbaan, PA
• Kiera Monkelbaan
• Monroe County Department of Health
• Monroe County Health Department
• Monroe County Health Dept Clinics
• Monroe County Health Dept Clinics
• Monroe County Health Dept Clinics

• Pharmacy in Rochester, NY
• Providers in Rochester, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.