Active NPI
Mark Joseph Malahosky, R. PH.
- Pharmacist
- Rochester, NY
National Provider Identifier
1952505299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036757
- Practice address
- 259 Monroe Ave Lowr Level
Rochester, NY 14607-3632 - Phone
- (585) 241-9000
- Fax
- (585) 454-2017
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036757 | NY | Primary |
Addresses
Primary practice location
259 Monroe Ave Lowr Level
Rochester, NY 14607-3632
Mailing address
170 Science Parkway
Pharmacy Administration
Rochester, NY 14620-4251
Phone (585) 210-4152
Other practice location 1
170 Science Pkwy
Rochester, NY 14620-4251
Phone (585) 714-9000
Other practice location 2
259 Monroe Ave Fl 1
Rochester, NY 14607-3632
Phone (582) 244-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036757 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trillium Health, Inc | Past | Accepting new patients | |
| Trillium Health, Inc. | Past | Accepting new patients | |
| Trillium Health, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1881156198
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1881752905
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1265098941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1952505299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 SCIENCE PARKWAY",
"address_2": "PHARMACY ADMINISTRATION",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204251",
"telephone_number": "585-210-4152",
"fax_number": "877-616-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MONROE AVE LOWR LEVEL",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073632",
"telephone_number": "585-241-9000",
"fax_number": "585-454-2017"
}
],
"practiceLocations": [
{
"address_1": "170 Science Pkwy",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146204251",
"country_code": "US",
"telephone_number": "585-714-9000",
"fax_number": "585-545-7234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "259 Monroe Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146073632",
"country_code": "US",
"telephone_number": "582-244-9000",
"fax_number": "585-545-7221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALAHOSKY",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.