NPIMap

Organization Active NPI

Rochester General Hospital

Doing business as Riedman Pharmacy

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1871070409
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036776 Issued in NY
Legal business name
ROCHESTER GENERAL HOSPITAL
Doing business as
Riedman Pharmacy
Practice address
1455 E Ridge Rd
Rochester, NY 14621
Phone
(585) 974-5000
Fax
(585) 974-5009
NPI assigned
Jul 26, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Renee Price
Title
Sr. Billing & Compliance Specialist
Phone
(585) 974-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 036776 NY Primary

Addresses

Primary practice location

1455 E Ridge Rd
Rochester, NY 14621

Mailing address

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 974-5000

Other names 1

  • Riedman Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180906000650 NY Part B Supplier - Pharmacy 0244149474 Practice locations: Rochester, NY
O20200428001001 NY DME Supplier - Pharmacy 0244149474 Practice locations: Rochester, NY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1871070409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212006",
            "telephone_number": "585-974-5000",
            "fax_number": "585-974-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-974-5000",
            "fax_number": "585-974-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "SR. BILLING & COMPLIANCE SPECIALIST",
        "authorized_official_telephone_number": "585-974-5000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riedman Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riedman Pharmacy",
            "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 Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.