LIFETIME HEALTH MEDICAL GROUP – NPI #1497811939
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Health Care Provider Taxonomy Code for Pharmacy

LIFETIME HEALTH MEDICAL GROUP is a pharmacy located in ROCHESTER, NY. NPPES has assigned the NPI number 1497811939 to LIFETIME HEALTH MEDICAL GROUP on December 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIFETIME HEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is GENESEE VALLEY GROUP HEALTH ASSOCIATION. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFETIME HEALTH MEDICAL GROUP below.

NPI Profile for
GENESEE VALLEY GROUP HEALTH ASSOCIATION

NPI Number
1497811939
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Doing Business As (dba): LIFETIME HEALTH MEDICAL GROUP
Primary location
1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623-2532
Phone: (585) 292-8488 Fax: (585) 292-6598
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY PEPE
SUPERVISING PHARMACIST
Phone: (585) 292-8488
Updated
Identifiers

Identifiers for LIFETIME HEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01853745
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)		 NY 017164

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.