Spencer Pharmaceutical Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034997 Issued in NY

Legal business name

SPENCER PHARMACEUTICAL GROUP LLC

Doing business as

Honeoye Falls Pharmacy

Practice address

166 W Main St
Honeoye Falls, NY 14472-1148

Phone

(585) 624-2000

Fax

(585) 624-2009

NPI assigned

Sep 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Thomas SpencerNPI 1275765208

Title

Owner

Phone

(585) 624-2000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Honeoye Falls Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Thomas Spencer, PHARM D

  • Pharmacist
  • Mount Morris, NY
  • NPI 1275765208
  NPD Authorized official

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1760931364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721148",
            "telephone_number": "585-624-2000",
            "fax_number": "585-624-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721148",
            "telephone_number": "585-624-2000",
            "fax_number": "585-624-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER PHARMACEUTICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-25",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-624-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04611996",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Honeoye Falls Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Honeoye Falls Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janeen Hope Shaffer
• Dana Sharp
• Anthony Curtis Shideler, D.D.S.
• Shoe Store, LLC
• Sarah P Smith, DPT
• Erica Marin Spencer, PHARM D
• Mark Allen Spezzano, PHD, LCSW-R
• Marianne Springstead-Rose, SPECIAL EDUCATOR
• Edmond S Sun, RPH
• Tamara Leigh Taylor, OT

• Community/Retail Pharmacy in Honeoye Falls, NY
• Providers in Honeoye Falls, 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 Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.