Active NPI
Parkview Niagara Street, LLC
- Long Term Care Pharmacy
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 036719
- Legal business name
- PARKVIEW NIAGARA STREET, LLC
- Practice address
- 3920 Main St Ste 150
Amherst, NY 14226-3350 - Phone
- (716) 423-2313
- Fax
- (716) 423-2329
- NPI assigned
- Jul 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin T Waclawek, PHARMD
- Title
- Coo
- Phone
- (716) 876-2323
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | 036719 | NY | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
3920 Main St Ste 150
Amherst, NY 14226-3350
Mailing address
3920 Main St Ste 150
Amherst, NY 14226-3350
Phone (716) 423-2313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036719 | Other | NY | STATE PHARMACY REGISTRATION |
Other names 1
- Riverview Professional Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180822000960 | NY | Part B Supplier - Pharmacy | 8628327855 | Practice locations: Amherst, NY |
| O20190130001543 | NY | DME Supplier - Pharmacy | 8628327855 | Practice locations: Amherst, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2185416 | Riverview Professional Pharmacy | Certificate of waiver | Mar 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Parkview Niagara Street, LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1050 Niagara St
Ste 110
Buffalo, NY 14213
Phone (716) 423-2313
3920 Main St
Ste 150
Buffalo, NY 14226
Phone (716) 423-2313
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Amherst, NY
- NPI 1922885946
-
- Pharmacist
- Saint Louis, MO
- NPI 1972482404
-
- Pharmacist
- Buffalo, NY
- NPI 1104383546
-
- Pharmacist
- Buffalo, NY
- NPI 1619692845
-
- Pharmacist
- Buffalo, NY
- NPI 1306471651
-
- Pharmacist
- Buffalo, NY
- NPI 1700262912
-
- Pharmacist
- Buffalo, NY
- NPI 1447859764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1013495423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 MAIN ST STE 150",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263350",
"telephone_number": "716-423-2313",
"fax_number": "716-423-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 MAIN ST STE 150",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263350",
"telephone_number": "716-423-2313",
"fax_number": "716-423-2329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW NIAGARA STREET, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "WACLAWEK",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "716-876-2323",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NY",
"license": "036719",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY REGISTRATION",
"identifier": "036719",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverview Professional Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.