NPIMap

Organization Active NPI

Genesee Valley Group Health Association

Doing business as Lifetime Health Medical Group

  • Pharmacy
  • Pittsford, NY
National Provider Identifier
1750487625
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Doing business as
Lifetime Health Medical Group
Practice address
77 Sullys TRL
Perinton Health Center Phamacy
Pittsford, NY 14534-3754
Phone
(585) 248-5300
NPI assigned
Sep 16, 2006
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Stephen E Urbanski Jr., RPH
Title
Manager, Pharmacy Services
Phone
(716) 689-3420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 019587 NY
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

77 Sullys TRL
Perinton Health Center Phamacy
Pittsford, NY 14534-3754

Mailing address

1185 Sweet Home Rd
Attention: Steve Urbanski
Amherst, NY 14226-1018
Phone (716) 689-3420

Other names 1

  • Lifetime Health Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesee Valley Group Health Associaton52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1750487625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 SWEET HOME RD",
            "address_2": "ATTENTION: STEVE URBANSKI",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261018",
            "telephone_number": "716-689-3420",
            "fax_number": "716-689-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRL",
            "address_2": "PERINTON HEALTH CENTER PHAMACY",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343754",
            "telephone_number": "585-248-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY GROUP HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "URBANSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER, PHARMACY SERVICES",
        "authorized_official_telephone_number": "716-689-3420",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "019587",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.