Active NPI
Renata St James, PHARMD
- Pharmacist
- Fairport, NY
National Provider Identifier
1962855429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061834
- Practice address
- 6707 Pittsford Palmyra Rd
Fairport, NY 14450 - Phone
- (585) 360-1814
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- 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 | 061834 | NY | Primary |
Addresses
Primary practice location
6707 Pittsford Palmyra Rd
Fairport, NY 14450
Mailing address
6707 Pittsford Palmyra Rd
Fairport, NY 14450-3442
Phone (585) 360-1814
Other practice location 1
18 Eastern Blvd
Canandaigua, NY 14424-2219
Phone (585) 396-5990
Other practice location 2
709 W Union St
Newark, NY 14513-1357
Phone (315) 332-0193
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061834 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6707 Pittsford Palmyra Rd
Fairport, NY 14450
Phone (585) 360-1814
709 W Union St
Newark, NY 14513
Phone (315) 332-0193
Organizations & group practices 4
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.
-
- Pharmacy
- Newark, NY
- NPI 1649356676
-
- Pharmacy
- Fairport, NY
- NPI 1790016509
-
- Pharmacy
- Canandaigua, NY
- NPI 1659588622
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1962855429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503442",
"telephone_number": "585-360-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "14450",
"telephone_number": "585-360-1814"
}
],
"practiceLocations": [
{
"address_1": "18 Eastern Blvd",
"address_purpose": "LOCATION",
"city": "Canandaigua",
"state": "NY",
"postal_code": "144242219",
"country_code": "US",
"telephone_number": "585-396-5990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "709 W Union St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "145131357",
"country_code": "US",
"telephone_number": "315-332-0193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST JAMES",
"first_name": "RENATA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.