Individual provider Active NPI

So Sum Chack, RPH

  • Pharmacist
  • Canandaigua, NY
National Provider Identifier
1750559548
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050427 Issued in NY
Practice address
345 Eastern Blvd
Attn: Pharmacy Manager
Canandaigua, NY 14424-2206
Phone
(585) 394-1595
Fax
(585) 394-5283
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050427 NY Primary

Addresses

Primary practice location

345 Eastern Blvd
Attn: Pharmacy Manager
Canandaigua, NY 14424-2206

Mailing address

1500 Brooks Ave
Attn: Pharmacy Office
Rochester, NY 14624-3512
Phone (585) 239-2020

Other identifiers 1

IdentifierTypeStateIssuer
050427OtherNYPHARMACIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
050427NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmans Food Markets, Inc. Past Accepting new patients
Wegmans Food Markets, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1750559548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROOKS AVE",
            "address_2": "ATTN: PHARMACY OFFICE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243512",
            "telephone_number": "585-239-2020",
            "fax_number": "585-239-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EASTERN BLVD",
            "address_2": "ATTN: PHARMACY MANAGER",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242206",
            "telephone_number": "585-394-1595",
            "fax_number": "585-394-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACK",
        "first_name": "SO SUM",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "050427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.