Organization Active NPI

HMB Pharmacy Management LLC

Doing business as metcare rx

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1003139270
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029866 Issued in NY
Legal business name
HMB PHARMACY MANAGEMENT LLC
Doing business as
metcare rx
Practice address
462 Grider St
Driveway 3
Buffalo, NY 14215-3021
Phone
(716) 332-2866
Fax
(716) 332-2880
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Raj Shah
Title
Coo
Phone
(732) 318-9628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029866 NY Primary

Addresses

Primary practice location

462 Grider St
Driveway 3
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Driveway 3
Buffalo, NY 14215-3021
Phone (716) 332-2866

Other identifiers 2

IdentifierTypeStateIssuer
03198203MedicaidNY
3364774OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • metcare rx Doing business as

National Provider Directory

National Provider Directory

Locations

462 Grider St
#3
Buffalo, NY 14215
Phone (716) 332-2866

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1003139270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DRIVEWAY 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-2866",
            "fax_number": "716-332-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DRIVEWAY 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-2866",
            "fax_number": "716-332-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMB PHARMACY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-318-9628"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03198203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3364774",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "metcare rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2011; 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.