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GENEVA
NPI 1639135809
Pharmacy in Geneva, NY

Active since April 25, 2006CLIA Certified · 3 labs
200 NORTH ST, SUITE 103, GENEVA, NY 14456(315) 787-5388(315) 781-3295 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Geneva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENEVA (NPI 1639135809) is a healthcare organization registered as a pharmacy in Geneva, New York and active in the NPI registry since April 2006. The organization holds 3 active CLIA laboratory certificates and lists Lawrence A Jepsen, President, as its authorized official.

NPPES Registry Identity

NPI1639135809
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHENDERSON'S DRUG STORE, INC.
Location Address200 NORTH ST, SUITE 103Geneva, NY 14456-1561
Mailing AddressPo Box 696Watkins Glen, NY 14891-0696 · (607) 535-4999 · Fax (607) 535-4320
Phone(315) 787-5388
Fax(315) 781-3295
Organization SubpartNo
Authorized OfficialLawrence A JepsenPresident · (607) 535-4999
Enumeration DateApril 25, 2006
Last NPPES UpdateMarch 4, 2010
✔ NPI 1639135809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 024380
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
200 NORTH ST, Geneva, NY 14456
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Other Names 1

Other NameGeneva

Other Identifiers 2

Medicaid01981828NY
Medicare NSC0207710004NY

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1103357

Geneva Primary Care · Geneva, NY
Active · expires Mar 26, 2027
CLIA Number33D1103357
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jeffrey Christenson
Laboratory Phone(315) 787-5400
Laboratory LocationGeneva Primary Care200 North St - Ste 102, Geneva, NY 14456
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2321484

Geneva Medical Campus · Geneva, NY
Active · expires Mar 26, 2027
CLIA Number33D2321484
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Leah Militello
Laboratory Phone(315) 787-5755
Laboratory LocationGeneva Medical Campus833 Canandaigua Rd, Geneva, NY 14456
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 33D2326809

Geneva Medical Campus Infusion · Geneva, NY
Active · expires Mar 26, 2027
CLIA Number33D2326809
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Leah Militello
Laboratory Phone(315) 210-1330
Laboratory LocationGeneva Medical Campus Infusion833 Canandaigua Rd - Rm 212, Geneva, NY 14456
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN ACHILLES MD
Obstetrics & Gynecology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Ontario County (315) 787-5100
DR. WILLIAM PORTER WELBOURNE M.D.
Internal Medicine
200 NORTH ST, SUITE 102
GENEVA, NY 14456
Ontario County (315) 787-5400
NORTH STREET PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
200 NORTH ST, ST 103
GENEVA, NY 14456
Ontario County (315) 787-5388
RICHARD KASULKE MD
Urology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Ontario County (315) 787-5100
TRACY HEFFRON PA
Physician Assistant
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Ontario County (315) 787-5100
JAMES HIGHT MD
Obstetrics & Gynecology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Ontario County (315) 787-5100
VICTORIA LYNN MESKO FNP
Nurse Practitioner (Family)
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Ontario County (315) 787-5199
JAMES DICKSON
Obstetrics & Gynecology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Ontario County (315) 787-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henderson's Drug Store, Inc.'s NPI number?

The NPI number for Henderson's Drug Store, Inc. is 1639135809. It was assigned to this organization in the NPPES registry on April 25, 2006. The provider is also known as Geneva.

Where is Henderson's Drug Store, Inc. located?

Henderson's Drug Store, Inc. is located at 200 North St Suite 103, Geneva, NY 14456. The listed phone number is (315) 787-5388.

What is Henderson's Drug Store, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Henderson's Drug Store, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Henderson's Drug Store, Inc. was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.