# MONROE AVENUE PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** monroe ave pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720301757
- **Authorized official:** RENE GIGNAC (OWNER)
- **Authorized official phone:** (585) 271-7716

## Contact information

- **Practice address:** 2341 MONROE AVE, ROCHESTER, NY 14618-3024
- **Practice address phone:** (585) 271-7716
- **Practice address fax:** (585) 461-9175
- **Mailing address:** 2341 MONROE AVE, ROCHESTER, NY 14618-3024
- **Mailing address phone:** (585) 271-7716
- **Mailing address fax:** (585) 461-9175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 029987 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 05/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5801205 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |