Organization Active NPI

Parkview Niagara Street, LLC

  • Long Term Care Pharmacy
  • Amherst, NY
National Provider Identifier
1013495423
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
036719 Issued in NY
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

Updated by the provider on Jul 16, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036719OtherNYSTATE PHARMACY REGISTRATION

Other names 1

  • Riverview Professional Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2185416Riverview Professional Pharmacy3920 Main St. Ste 150, Amherst, NY 14226Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Parkview Niagara Street, LLC3920 Main St, Amherst, NY 14226-3350(716) 423-2313 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 24, 2018

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.