Healthcare Provider Details
I. General information
NPI: 1497660971
Provider Name (Legal Business Name): FILLMORE & FISHER PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10560 ROUTE 19
FILLMORE NY
14735-8703
US
IV. Provider business mailing address
PO BOX 272
FILLMORE NY
14735-0272
US
V. Phone/Fax
- Phone: 585-567-2228
- Fax: 585-567-8227
- Phone: 585-567-2228
- Fax: 585-567-8227
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALYSSA
GRIFFIN
VELEZ
Title or Position: OWNER
Credential: PHARMD
Phone: 716-353-3711