Upstate Pharmacy LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

UPSTATE PHARMACY LTD

Doing business as

Upstate Pharmacy LTD

Practice address

1900 N America Dr Ste 100
Ste 100
West Seneca, NY 14224-2014

Phone

(716) 675-3784

Fax

(716) 675-7777

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ted Kuznirrek, RPH

Title

VP

Phone

(716) 675-3794

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• UPSTATE PHARMACY LTD Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Thaddeus Joseph Kuzniarek, RPH

  • Pharmacist
  • West Seneca, NY
  • NPI 1821311929
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1033221031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NORTH AMERICA DR",
            "address_2": "STE 100",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242014",
            "telephone_number": "716-675-3784",
            "fax_number": "716-675-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AMERICA DR STE 100",
            "address_2": "STE 100",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242014",
            "telephone_number": "716-675-3784",
            "fax_number": "716-675-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "KUZNIRREK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "716-675-3794",
        "authorized_official_credential": "RPH"
    },
    "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
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "023581",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01820933",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPSTATE PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UPSTATE PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kurt Martin Ulrich, RN
• Universal Chiropractic,PC
• University Orthopaedic Services Inc.
• University Orthopaedics Services, Inc.
• Mary Angela Uplinger, LMT
• Charles Urmanec, LPN
• Maxwell Utzman
• Kathleen V. Vail
• Roberto Jose Valdez, RN
• Kelly Ann Valenti, LCSWR

• Community/Retail Pharmacy in West Seneca, NY
• Providers in West Seneca, 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 1, 2019; 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.