Provider Demographics
NPI:1831914274
Name:THE FREDERICK FERRIS THOMPSON HOSPITAL
Entity type:Organization
Organization Name:THE FREDERICK FERRIS THOMPSON HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR DIRECTOR OF AMBULATORY PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:585-785-5193
Mailing Address - Street 1:53 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1198
Mailing Address - Country:US
Mailing Address - Phone:585-978-8290
Mailing Address - Fax:585-407-8003
Practice Address - Street 1:53 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1198
Practice Address - Country:US
Practice Address - Phone:585-978-8290
Practice Address - Fax:585-407-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy