Parkview West Side RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

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

Organization subpart

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Stamford, CT
  • NPI 1831854173

  Member Of

  NPD member

Practitioners 5

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

• Dennis Vesper Fitzgibbon, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1619692845
  NPD
• Luke C Hoffman, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1306471651
  NPD
• Philip Occhino, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1700262912
  NPD
• Eric James Wightman, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1447859764
  NPD
• Qasim Abdulle

  • Pharmacist
  • Buffalo, NY
  • NPI 1104383546
  NPD (past)

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": []
}

• Laura Ann Parks
• Sarah Marie Parks
• Parkside Medical Anesthesia Associates
• Parkside Pharmacy Inc
• Parkview Health Service of New York LLC
• Gabrielle Mei-Ling Parla, DC
• Salvatore J Parlato, MD
• Margaret W. Paroski, MD
• Jenna Parrish
• Joy B Parrish, PHD

• Long Term Care Pharmacy in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Long Term Care Pharmacy in New York

• 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.

Verify at the official NPI Registry.