Individual provider Active NPI

Craig Rudzinski, RPH

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1003070343
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051351-1 Issued in NY
Practice address
1979 Seneca St
Buffalo, NY 14210-2387
Phone
(716) 827-4900
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051351-1 NY Primary

Addresses

Primary practice location

1979 Seneca St
Buffalo, NY 14210-2387

Mailing address

402 Woodward Ave
Buffalo, NY 14214-1938
Phone (716) 868-9063

Other practice location 1

935 Brighton Rd
Tonawanda, NY 14150-8113
Phone (716) 835-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051351-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton-Eggert Pharmacy Inc Past Accepting new patients
Brighton-Eggert Pharmacy Inc PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1003070343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 WOODWARD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141938",
            "telephone_number": "716-868-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102387",
            "telephone_number": "716-827-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Brighton Rd",
            "address_purpose": "LOCATION",
            "city": "Tonawanda",
            "state": "NY",
            "postal_code": "141508113",
            "country_code": "US",
            "telephone_number": "716-835-6778",
            "fax_number": "716-362-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDZINSKI",
        "first_name": "CRAIG",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.