Lyell Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028924 Issued in NY

Legal business name

LYELL AVE PHARMACY INC

Doing business as

Lyell Ave Pharmacy

Practice address

115 Lyell Ave
Rochester, NY 14608-1312

Phone

(585) 546-1150

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Sherri Palmeri

Title

President

Phone

(585) 546-1150

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lyell Ave Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1740449503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LYELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081312",
            "telephone_number": "585-546-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LYELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081312",
            "telephone_number": "585-546-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYELL AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "PALMERI",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-546-1150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3358581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyell Ave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phuoc Thi Ly, OD
• Brenda Marie Lyaski, NP
• Sara Lyautey
• James Allan Lyden, D.D.S.
• Ryan Patrick Lydon, M.D.
• John Shannon Lyerly, MD
• Katherine M Lyle, SLP
• Lisa A Lyle, FNP
• Joseph W Lyman, NP
• Anne M Lynch, PA

• Community/Retail Pharmacy in Rochester, NY
• Providers in Rochester, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.