DRJC,LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DRJC,LLC

Doing business as

Thelma's Boutique

Practice address

1057 E Henrietta Rd Ste 300
Rochester, NY 14623-2635

Phone

(585) 256-2460

Fax

(585) 256-2467

NPI assigned

Jun 20, 2021

Organization subpart

No

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

Authorized official

Name

Rachel Diane Cordovana

Title

Owner

Phone

(585) 256-2460

Specialties & licenses 1

Addresses

Other names 1

• Thelma's Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661558400000",
    "number": "1871162321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 E HENRIETTA RD STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232635",
            "telephone_number": "585-256-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E HENRIETTA RD STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232635",
            "telephone_number": "585-256-2460",
            "fax_number": "585-256-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRJC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-20",
        "last_updated": "2022-08-27",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "CORDOVANA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-256-2460"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thelma's Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thelma's Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Drewski, MS CCC-SLP
• Christopher J Drinkwater, MD
• Elizabeth Heard Driscoll, LCSW-R, CGP
• Gary Driscoll
• W David Driscoll, PSY D
• Cruchelle Lynn Droegmoeller
• Kathryn Anne Drogan, N.P.
• Mia S Drouin, BCBA
• Rachel Golda Droznik, MD
• Kaila Druetto, DO

• Prosthetic/Orthotic Supplier in Rochester, NY
• Providers in Rochester, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.