MEDICARE: UNIVERSITY OF ROCHESTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336S0011X	Specialty Pharmacy
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	3336H0001X	Home Infusion Therapy Pharmacy	033116	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2167438	OTHER		PK

General Provider Information

NPI Number	:	1609314343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF ROCHESTER

Provider Business Mailing Address
First Line	:	155 BELLWOOD DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-4226
Country	:	US
Telephone Number	:	585-276-4663
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 BELLWOOD DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-4226
Country	:	US
Telephone Number	:	585-758-0645
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TIMOTHY J WARNER
Credential	:	RPH
Telephone Number	:	585-274-3036

Provider Enumeration Date	:	02/02/2017
Last Update Date	:	03/09/2026

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