LAKESIDE MEMORIAL HOSP PHCY INC
NPI 1225071566
Pharmacy - Institutional Pharmacy in Brockport, NY

NPI Status: Active since June 14, 2006

Contact Information

156 WEST AVE
BROCKPORT, NY
ZIP 14420
Phone: (585) 395-6043
Fax: (585) 395-6022

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  • Organization
  • Pharmacy
  • Institutional Pharmacy

About LAKESIDE MEMORIAL HOSP PHCY INC

This page provides the complete NPI Profile along with additional information for Lakeside Memorial Hosp Phcy Inc, a provider established in Brockport, New York operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1225071566 assigned on June 2006. The practitioner's primary taxonomy code is 3336I0012X with license number 012799 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Lakeside Memorial Hosp Phcy Inc. The authorized official of this NPI record is Christopher Dailey (Director Fo Pharmacy)

NPI
1225071566
Provider Legal Name
LAKESIDE MEMORIAL HOSPITAL INC
Other Organization Name
LAKESIDE MEMORIAL HOSP PHCY INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
156 WEST AVE BROCKPORT, NY 14420
Location Phone
(585) 395-6043
Location Fax
(585) 395-6022
Mailing Address
156 WEST AVE BROCKPORT, NY 14420
Mailing Phone
(585) 395-6043
Mailing Fax
(585) 395-6022
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2006
Last Update Date
01-07-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
012799
License State
NY
Taxonomy Description
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 
23336L0003XSuppliers

Pharmacy
Long Term Care Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER DAILEY

Authorized Official Title
DIRECTOR FO PHARMACY
Authorized Official Phone
(585) 395-6043

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3349037OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
0911710001MEDICARE NSC (07) 
00279543MEDICAID (05)NY 

Reviews for LAKESIDE MEMORIAL HOSP PHCY INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225071566
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245072512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 7 + 2 + 5 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1225071566 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

STEPHEN F WIECZOREK DPM

Podiatrist

156 WEST AVE
SUITE 106
BROCKPORT, NY
ZIP 14420

(585) 637-2113

HARRY M SHIFTON PHARMACIST

Pharmacist

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6043

LAKESIDE MEMORIAL HOSPITAL INC.

General Acute Care Hospital

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

JASON MCCLUNG MD

Emergency Medicine

156 WEST AVE
EMERGENCY DEPARTMENT
BROCKPORT, NY
ZIP 14420

(585) 395-6095

MR. KARORI MAL AGGARWAL MD

Internal Medicine

156 WEST AVE
STE 100
BROCKPORT, NY
ZIP 14420

(585) 637-3914

LAKESIDE MEMORIAL HOSPITAL INC.

Specialist

156 WEST AVE
SUITE 104
BROCKPORT, NY
ZIP 14420

(585) 637-6040

SCOTT F BERRY DO

Anesthesiology

156 WEST AVE
LAKESIDE MEMORIAL HOSPITAL
BROCKPORT, NY
ZIP 14420

(585) 395-6095

MRS. MARY E TATAR PT

Physical Therapist

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6093

CYNTHIA JANE ROMBAUT FNP

Nurse Practitioner

(Family)

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

DR. MANMADHARAO KASARANENI M.D.

Emergency Medicine

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

DR. TIMOTHY VERNON HAGY M.D.

Emergency Medicine

(Emergency Medical Services)

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

MRS. CHRISTINA LN KEMP PT

Physical Therapist

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6093

MRS. LORETTA ANNE BRIGMAN PA

Physician Assistant

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

LAKESIDE MEMORIAL HOSPITAL INC.

General Practice

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

MS. BONNIE DAWN HEWETT RN

Registered Nurse

(Diabetes Educator)

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6044

LAKESIDE HOSPITAL INTERNAL MEDICINE GROUP

Internal Medicine

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

DR. IGOR WLADIMIR ROSIEN M.D.

Emergency Medicine

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

AMY LORRAINE STACY MS, RD, CDN

Dietitian, Registered

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6095

ANTHONY MONTALBANO R.PH

Pharmacist

156 WEST AVE
BROCKPORT, NY
ZIP 14420

(585) 395-6043

OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Clinic/Center

(Community Health)

156 WEST AVE
SUITE 104
BROCKPORT, NY
ZIP 14420

(585) 637-6040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225071566, enumerated as an "organization" on June 14, 2006.

The provider is located at 156 WEST AVE BROCKPORT, NY 14420 and the phone number is (585) 395-6043.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.