Active NPI
Craig Rudzinski, RPH
- Pharmacist
- Buffalo, NY
National Provider Identifier
1003070343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051351-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 051351-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton-Eggert Pharmacy Inc | Past | Accepting new patients | |
| Brighton-Eggert Pharmacy Inc | Past | 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.
-
- Community/Retail Pharmacy
- Tonawanda, NY
- NPI 1467579839
-
- Long Term Care Pharmacy
- Tonawanda, NY
- NPI 1477331866
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.