Organization Active NPI

Saratoga RX LLC

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1881007474
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032944 Issued in NY
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

Updated by the provider on Jan 31, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03937217MedicaidNY
2148510OtherPK

Other names 1

  • SARATOGA PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.