Active NPI
Steven C. Conrad, RPH
- Pharmacist
- Rochester, NY
National Provider Identifier
1841472933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043721
- Practice address
- 1215 Jefferson Rd
Rochester, NY 14623-3135 - Phone
- (585) 427-7614
- Fax
- (855) 331-9074
- NPI assigned
- Nov 29, 2007
- Last updated
- Mar 10, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 043721 | NY | Primary |
Addresses
Primary practice location
1215 Jefferson Rd
Rochester, NY 14623-3135
Mailing address
1225 Jefferson Rd
Rochester, NY 14623-3163
Phone (585) 427-7614
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043721 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tops Markets LLC | 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": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1841472933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 JEFFERSON RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146233163",
"telephone_number": "585-427-7614",
"fax_number": "855-331-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 JEFFERSON RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146233135",
"telephone_number": "585-427-7614",
"fax_number": "855-331-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "STEVEN",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043721",
"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 Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.