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Organization Active NPI

Genesee Valley Group Health Association

  • Clinic Pharmacy
  • Rochester, NY
National Provider Identifier
1962591875
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH29882 Issued in FL
Legal business name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Practice address
800 Carter St
Rochester, NY 14621-2604
Phone
(585) 338-4972
Fax
(585) 336-4848
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Stephen Urbanski, RPH
Title
Manager, Pharmacy Services
Phone
(716) 689-3420

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 014289 NY
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X PH29882 FL Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Institutional Pharmacy 3336I0012X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

800 Carter St
Rochester, NY 14621-2604

Mailing address

1185 Sweet Home Rd
Amherst, NY 14226-1018
Phone (716) 689-3420

Other identifiers 2

IdentifierTypeStateIssuer
2063768OtherPK
03001865MedicaidNY

Other names 1

  • LIFETIME HEALTH MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

8280 Willett Pkwy
Baldwinsville, NY 13027
Phone (315) 445-9879

3045 East Ave
#49
Central Square, NY 13036
Phone (315) 668-3248

151 Elmview Ave
Hamburg, NY 14075
Phone (716) 648-3040

77 Sullys Trl
Pittsford, NY 14534
Phone (585) 248-5300

1880 E Ridge Rd
#7
Rochester, NY 14622
Phone (585) 342-9514

849 Paul Rd
Rochester, NY 14624
Phone (585) 889-0740

2561 Lac de Ville Blvd
Ste 200
Rochester, NY 14618
Phone (585) 473-3900

1880 E Ridge Rd
Ste 8A
Rochester, NY 14622
Phone (585) 266-8220

5860 Belle Isle Rd
Syracuse, NY 13209
Phone (315) 487-2220

792 N Main St
Syracuse, NY 13212
Phone (315) 458-8700

120 Gardenville Pkwy W
West Seneca, NY 14224
Phone (716) 656-4070

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1962591875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261018",
            "telephone_number": "716-689-3420",
            "fax_number": "716-689-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604",
            "telephone_number": "585-338-4972",
            "fax_number": "585-336-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY GROUP HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "URBANSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER, PHARMACY SERVICES",
        "authorized_official_telephone_number": "716-689-3420",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "014289",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH29882",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063768",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03001865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFETIME HEALTH MEDICAL GROUP",
            "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 Aug 31, 2016; 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.