Provider Demographics
NPI:1598919524
Name:HAMMERSMITH, MEGAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HAMMERSMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BROOKS AVE
Mailing Address - Street 2:ATTN: PHARMACY OFFICE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3512
Mailing Address - Country:US
Mailing Address - Phone:585-279-4355
Mailing Address - Fax:585-239-2015
Practice Address - Street 1:3701 MOUNT READ BLVD
Practice Address - Street 2:ATTN: PHARMACY MANAGER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-3450
Practice Address - Country:US
Practice Address - Phone:585-663-4190
Practice Address - Fax:585-621-6927
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051116OtherPHARMACIST LICENSE