MEDICARE: UNIVERSITY OF ROCHESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	333600000X	Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1558004531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF ROCHESTER

Provider Business Mailing Address
First Line	:	120 CORPORATE WOODS STE 100
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-1455
Country	:	US
Telephone Number	:	585-785-5187
Fax Number	:	585-272-1062

Provider Business Practice Location Address
First Line	:	155 BELLWOOD DR STE 2
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-4226
Country	:	US
Telephone Number	:	585-602-2271
Fax Number	:	585-272-1062

Authorized Official
Title or Position	:	DIRECTOR OF AMBULATORY PHARMACY
Name	:	JASON RICHARD SMITH
Credential	:
Telephone Number	:	585-785-5187

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	03/10/2023

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Directions to “UNIVERSITY OF ROCHESTER ” Practice Location

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