Park Ridge Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PARK RIDGE APOTHECARY INC

Practice address

4 Coulter Rd Ste 1610
Clifton Springs, NY 14432-1122

Phone

(315) 318-0844

Fax

(315) 318-0848

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Renee Price

Title

Sr Pharmacy Analyst

Phone

(315) 318-0844

Specialties & licenses 1

Addresses

Other names 1

• Clifton Springs Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Park Ridge Apothecary, Inc

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1285679415

  7618243841

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Park Ridge Apothecary Inc

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1558475525

  O20171016002648

  Same enrollment
• Park Ridge Apothecary, Inc

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1285679415

  O20171016002648

  Same enrollment

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

Tax ID family

Clifton Springs Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park Ridge Apothecary, Inc

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1285679415
  NPD tax ID

Locations

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1871221358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COULTER RD STE 1610",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-318-0844",
            "fax_number": "315-318-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COULTER RD STE 1610",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-318-0844",
            "fax_number": "315-318-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "SR PHARMACY ANALYST",
        "authorized_official_telephone_number": "315-318-0844"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Lynn Palermo, RN
• Lee Fox Palmer, LCSWR
• Nora C Palumbo, AUD
• Jayaram Parakkattu, PT
• Christine June Paris, R.N.
• Kaja Parker, M.S.
• Elaine R Parsons, LPN
• Elizabeth Parsons, COTA
• Nadine Namiko Patrick, REGISTERED NURSE
• William Robert Patterson, RPH

• Community/Retail Pharmacy in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.