NPIMap

Organization Active NPI

Highland Hospital of Rochester

Doing business as Highland Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Rochester, NY
National Provider Identifier
1962725739
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030031 Issued in NY
Legal business name
HIGHLAND HOSPITAL OF ROCHESTER
Doing business as
Highland Hospital Outpatient Pharmacy
Practice address
1000 South Ave
Rochester, NY 14620-2733
Phone
(585) 341-0699
Fax
(585) 341-0559
NPI assigned
Mar 9, 2010
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Jason SmithNPI 1255514105
Title
Associate Director of Pharmacy
Phone
(585) 785-5193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 030031 NY Primary

Addresses

Primary practice location

1000 South Ave
Rochester, NY 14620-2733

Mailing address

1000 South Ave
Rochester, NY 14620-2733
Phone (585) 341-0699

Other identifiers 2

IdentifierTypeStateIssuer
03386463MedicaidNY
2124050OtherPK

Other names 1

  • Highland Hospital Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110607000098 NY DME Supplier - Pharmacy 5496641631 Practice locations: Rochester, NY
O20210223001121 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5496641631 Practice locations: Rochester, NY

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Gananda Family Med10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations (25 of 26)

390 Parrish St
Canandaigua, NY 14424
Phone (585) 393-7040

5102 Parrish Street Ext
Canandaigua, NY 14424
Phone (585) 396-1010

6745 Pittsford Palmyra Rd
Fairport, NY 14450
Phone (585) 223-3633

3509 Thomas Dr
Lakeville, NY 14480
Phone (585) 346-3660

3509 Thomas Dr
Ste 4
Lakeville, NY 14480
Phone (585) 346-3660

5995 Big Tree Rd
Lakeville, NY 14480
Phone (585) 346-0740

5995 Big Tree Rd
Bldg C
Lakeville, NY 14480
Phone (585) 723-3330

2140 Five Mile Line Rd
Penfield, NY 14526
Phone (518) 877-4970

2300 W Jefferson Rd
Ste 300
Pittsford, NY 14534
Phone (585) 276-7190

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

10 S Pointe Lndg
Ste 210
Rochester, NY 14606
Phone (585) 723-3330

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

1000 South Ave
#101
Rochester, NY 14620
Phone (716) 341-6292

1000 South Ave
#14
Rochester, NY 14620
Phone (716) 784-7869

1140 Norton St
Rochester, NY 14621
Phone (585) 467-2100

1208 Scottsville Rd
Rochester, NY 14624
Phone (585) 235-6904

1290 Lake Ave
Rochester, NY 14613
Phone (585) 254-1593

155 Bellwood Dr
#1
Rochester, NY 14606
Phone (585) 273-1154

200 Red Creek Dr
Rochester, NY 14623
Phone (585) 334-0130

301 Exchange Blvd
Rochester, NY 14608
Phone (585) 263-7680

757 Clinton Ave S
#100
Rochester, NY 14620
Phone (585) 279-4680

757 Clinton Ave S
Ste 100
Rochester, NY 14620
Phone (585) 279-4800

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

999 E Ridge Rd
Rochester, NY 14621
Phone (585) 341-3600

200 Kidd Castle Way
Webster, NY 14580
Phone (585) 670-7300

Practitioners & affiliated clinicians

Practitioners 810

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 810

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1962725739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTH AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202733",
            "telephone_number": "585-341-0699",
            "fax_number": "585-341-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTH AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202733",
            "telephone_number": "585-341-0699",
            "fax_number": "585-341-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HOSPITAL OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "585-785-5193"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03386463",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Hospital Outpatient 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 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.