Active NPI
Irondequoit Pharmacy, LLC
- Pharmacy
- Rochester, NY
National Provider Identifier
1720548019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- IRONDEQUOIT PHARMACY, LLC
- Practice address
- 545 Titus Ave
Rochester, NY 14617-3154 - Phone
- (585) 340-6440
- NPI assigned
- Mar 22, 2019
- 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
- David Thomas Seelman, PHARMD
- Title
- Owner
- Phone
- (585) 269-9720
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
545 Titus Ave
Rochester, NY 14617-3154
Mailing address
545 Titus Ave
Rochester, NY 14617
Phone (585) 340-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05577037 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190426000086 | NY | Part B Supplier - Pharmacy | 7911249792 | Practice locations: Rochester, NY |
National Provider Directory
National Provider DirectoryPractitioners & 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 1538474101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1720548019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 TITUS AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14617",
"telephone_number": "585-340-6440",
"fax_number": "585-340-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 TITUS AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146173154",
"telephone_number": "585-340-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRONDEQUOIT PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "SEELMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-269-9720",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05577037",
"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 May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.