National Provider Identifier

Portland Pharmacy Inc

Portland Pharmacy Inc is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (585) 537-7081.

NPI 1033726807Rochester, NYCommunity/Retail Pharmacy

Source: public NPPES record, last updated November 02, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1033726807
Provider Type
Organization
Primary Specialty
Community/Retail Pharmacy
Enumeration Date
September 25, 2020
Last Updated
November 02, 2020

Practice Location

  • 1295 Portland Ave Ste 2
  • Rochester, NY 14621-2726

Phone: (585) 537-7081

Authorized Official

Name
Malik Shaibi
Title
Supervising Pharmacist
Credentials
RPH
Phone
(313) 442-2400

Specialties

  • Community/Retail Pharmacy (3336C0003X)

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Full Record
NPI
1033726807
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Portland Pharmacy Inc
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
1295 Portland Ave Ste 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2726
Mailing Country
US
Mailing Phone
(585) 537-7081
Mailing Fax
(585) 568-7909
Practice Street Address
1295 Portland Ave Ste 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2726
Practice Country
US
Practice Phone
(585) 537-7081
Practice Fax
(585) 568-7909
Enumeration Date
September 25, 2020
Last Updated
November 02, 2020
Authorized Official Last Name
Shaibi
Authorized Official First Name
Malik
Authorized Official Title
Supervising Pharmacist
Authorized Official Phone
(313) 442-2400
Organization Subpart
No
Authorized Official Credential Text
RPH
Certification Date
November 02, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Retail Pharmacy (3336C0003X)