LIFETIME HEALTH MEDICAL GROUP - NPI 1750487625

Q: What is Genesee Valley Group Health Association's specialty?

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

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About Lifetime Health Medical Group NPPES

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

LIFETIME HEALTH MEDICAL GROUP (NPI 1750487625) is a healthcare organization registered as a pharmacy in Pittsford, New York and active in the NPI registry since September 2006. The organization lists Stephen E Urbanski, Manager, Pharmacy Services, as its authorized official.

NPPES Registry Identity

NPI1750487625

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameGENESEE VALLEY GROUP HEALTH ASSOCIATION

Location Address77 SULLYS TRL, PERINTON HEALTH CENTER PHAMACYPittsford, NY 14534-3754

Mailing Address1185 Sweet Home Rd, Attention: Steve UrbanskiAmherst, NY 14226-1018 · (716) 689-3420 · Fax (716) 689-3472

Phone(585) 248-5300

Organization SubpartNo

Authorized OfficialStephen E UrbanskiManager, Pharmacy Services · (716) 689-3420

Enumeration DateSeptember 16, 2006

Last NPPES UpdateNovember 18, 2015

✔ NPI 1750487625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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.

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 019587 (NY)

77 SULLYS TRL, Pittsford, NY 14534

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Other Names 1

Doing Business AsLifetime Health Medical Group

Other Identifiers 1

Medicare ID-Type Unspecified1307940005NY · Perinton Hlth Ctr Pharmac

Other Providers at the Same Location NPPES 16

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

MR. VINCENT LOUIS REDA BS

Pharmacist