Active NPI
Bryan Matthew Piper, PHARM.D
- Pharmacist
- Rochester, NY
National Provider Identifier
1811190432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050377
- Practice address
- 430 Spencerport Rd
Rochester, NY 14606-5219 - Phone
- (585) 247-2710
- Fax
- (585) 247-1755
- NPI assigned
- Jun 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050377 | NY | Primary |
Addresses
Primary practice location
430 Spencerport Rd
Rochester, NY 14606-5219
Mailing address
1 Fairbourne Park
Rochester, NY 14626-1292
Phone (585) 749-9421
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050377 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1181433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811190432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FAIRBOURNE PARK",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146261292",
"telephone_number": "585-749-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SPENCERPORT RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146065219",
"telephone_number": "585-247-2710",
"fax_number": "585-247-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPER",
"first_name": "BRYAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.