Healthcare Provider Details

I. General information

NPI: 1386733079
Provider Name (Legal Business Name): ROSENKRANS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 MAIN ST
MEDINA NY
14103-1421
US

IV. Provider business mailing address

526 MAIN ST
MEDINA NY
14103-1421
US

V. Phone/Fax

Practice location:
  • Phone: 585-798-1650
  • Fax: 585-798-9632
Mailing address:
  • Phone: 585-798-1650
  • Fax: 585-798-9632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number007943
License Number StateNY

VIII. Authorized Official

Name: AMY HERMAN
Title or Position: MANAGING PHARMACIST
Credential: RPH
Phone: 585-798-1650