Parker Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PARKER PHARMACY INC

Doing business as

Parker Pharmacy

Practice address

1388 Hertel Ave
Buffalo, NY 14216-3409

Phone

(716) 725-0887

Fax

(716) 725-0894

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Barbara J Madison, R.PH.NPI 1205150737

Title

President

Phone

(716) 725-0887

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Parker Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Jane Madison, R.PH.

  • Pharmacist
  • Buffalo, NY
  • NPI 1205150737
  NPD Authorized official
• Julie L Spillman, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1760995658
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1023319258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162825",
            "telephone_number": "716-725-0887",
            "fax_number": "716-725-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163409",
            "telephone_number": "716-725-0887",
            "fax_number": "716-725-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2022-05-09",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-725-0887",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06208126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "030772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parker Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SE Hyuk Park, MD
• Seung-Kyoon Park, M.D.
• Song Yong Park, D.M.D
• Terry Park
• Wonhoon Park, MD
• Adam Parker
• Allison Parker, RN
• Allison L Parker, M.S CCC/SLP
• Brandon Robert Parker
• Jeffrey Michael Parker, DO

• Community/Retail Pharmacy in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.