National Provider Identifier
Portland Pharmacy Inc
Portland Pharmacy Inc is listed in the NPPES registry with a primary specialty of Long Term Care Pharmacy in Rochester, NY and a listed phone number of (585) 537-7081.
Profile Overview
- NPI
- 1588495659
- Provider Type
- Organization
- Primary Specialty
- Long Term Care Pharmacy
- Enumeration Date
- August 12, 2024
- Last Updated
- August 12, 2024
Practice Location
- 1295 Portland Ave Ste 2
- Rochester, NY 14621-2726
Phone: (585) 537-7081
Specialties
- Long Term Care Pharmacy (3336L0003X)
Full Record
- NPI
- 1588495659
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Portland Pharmacy Inc
- 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
- August 12, 2024
- Last Updated
- August 12, 2024
- Authorized Official Last Name
- Shaibi
- Authorized Official First Name
- Malik
- Authorized Official Middle Name
- Ahmed
- Authorized Official Title
- Supervising Pharmacy
- Authorized Official Phone
- (313) 442-2400
- Organization Subpart
- No
- Certification Date
- August 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Long Term Care Pharmacy (3336L0003X)