Active NPI
Parkview West Side RX, LLC
- Long Term Care Pharmacy
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PARKVIEW WEST SIDE RX, LLC
- Practice address
- 1050 Niagara St Ste 110
Buffalo, NY 14213-2001 - Phone
- (716) 710-8123
- Fax
- (716) 710-7329
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 3, 2023
- 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
- Justin Waclawek, PHARMD
- Title
- Coo
- Phone
- (716) 876-2323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1050 Niagara St Ste 110
Buffalo, NY 14213-2001
Mailing address
1050 Niagara St Ste 110
Buffalo, NY 14213-2001
Phone (716) 710-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240319003029 | NY | DME Supplier - Pharmacy | 1658728167 | Practice locations: Buffalo, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Parkview West Side RX, LLC | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
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
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Buffalo, NY
- NPI 1295125714
-
- Pharmacist
- Buffalo, NY
- NPI 1619692845
-
- Pharmacist
- Buffalo, NY
- NPI 1306471651
-
- Pharmacist
- Buffalo, NY
- NPI 1700262912
-
- Pharmacist
- Buffalo, NY
- NPI 1447859764
-
- Pharmacist
- Buffalo, NY
- NPI 1104383546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1023713625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 NIAGARA ST STE 110",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142132001",
"telephone_number": "716-710-8123",
"fax_number": "716-710-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NIAGARA ST STE 110",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142132001",
"telephone_number": "716-710-8123",
"fax_number": "716-710-7329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW WEST SIDE RX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "WACLAWEK",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "716-876-2323",
"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": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 3, 2023; 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.