Organization Active NPI

Monroe Pharmacy LLC

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1790928943
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029333 Issued in NY
Legal business name
MONROE PHARMACY LLC
Doing business as
Monroe Pharmacy LLC
Practice address
2672 Ridge Rd W
Suite 100
Rochester, NY 14626-3027
Phone
(585) 723-1755
Fax
(585) 723-1764
NPI assigned
Apr 16, 2009
Last updated
Jun 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
John Velekkakan
Title
Owner
Phone
(585) 271-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029333 NY Primary

Addresses

Primary practice location

2672 Ridge Rd W
Suite 100
Rochester, NY 14626-3027

Mailing address

2672 Ridge Rd W
Suite 100
Rochester, NY 14626-3027
Phone (585) 723-1755

Other identifiers 1

IdentifierTypeStateIssuer
3362403OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Monroe Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2672 W Ridge Rd
Ste 100
Rochester, NY 14626
Phone (585) 723-1755

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1790928943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 RIDGE RD W",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263027",
            "telephone_number": "585-723-1755",
            "fax_number": "585-723-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 RIDGE RD W",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263027",
            "telephone_number": "585-723-1755",
            "fax_number": "585-723-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "VELEKKAKAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-271-1140"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3362403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 2010; 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.