Active NPI
Saratoga RX LLC
- Community/Retail Pharmacy
- Rochester, NY
National Provider Identifier
1881007474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032944
- Legal business name
- SARATOGA RX LLC
- Practice address
- 192 Lyell Ave
Rochester, NY 14608-1317 - Phone
- (585) 458-2326
- Fax
- (585) 458-3817
- NPI assigned
- Jun 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalid Habib, RPH
- Title
- Pharmacy Manager/ Pharmacist
- Phone
- (585) 458-2326
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 032944 | NY | Primary |
Addresses
Primary practice location
192 Lyell Ave
Rochester, NY 14608-1317
Mailing address
192 Lyell Ave
Rochester, NY 14608
Phone (585) 458-2326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03937217 | Medicaid | NY | |
| 2148510 | Other | PK |
Other names 1
- SARATOGA PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1881007474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 LYELL AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14608",
"telephone_number": "585-458-2326",
"fax_number": "585-458-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 LYELL AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146081317",
"telephone_number": "585-458-2326",
"fax_number": "585-458-3817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARATOGA RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-11",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "HABIB",
"authorized_official_first_name": "KHALID",
"authorized_official_title_or_position": "PHARMACY MANAGER/ PHARMACIST",
"authorized_official_telephone_number": "585-458-2326",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "032944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03937217",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2148510",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SARATOGA PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SARATOGA 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 Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.