Active NPI
Ehs, Inc.
- Pharmacy
- Buffalo, NY
National Provider Identifier
1043508179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- EHS, INC.
- Practice address
- 206 South Elmwood Ave
Buffalo, NY 14201 - Phone
- (716) 541-0656
- Fax
- (716) 541-0661
- NPI assigned
- Jul 11, 2011
- 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
- Jessica Anne Stack
- Title
- Avp of Revenue Cycle MGMT
- Phone
- (716) 880-7399
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | 030723 | NY |
Addresses
Primary practice location
206 South Elmwood Ave
Buffalo, NY 14201
Mailing address
206 South Elmwood Ave
Buffalo, NY 14201
Phone (716) 541-0656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03370596 | Medicaid | NY | |
| 2131014 | Other | PK |
Other names 1
- The Pharmacy at Evergreen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120224000257 | NY | DME Supplier - Pharmacy | 7618946310 | Practice locations: Buffalo, NY |
| O20220119002807 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618946310 |
1 other NPI on this enrollment Practice locations: Buffalo, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
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 |
|---|---|---|
| Ehs, Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1043508179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SOUTH ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14201",
"telephone_number": "716-541-0656",
"fax_number": "716-541-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 SOUTH ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14201",
"telephone_number": "716-541-0656",
"fax_number": "716-541-0661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-11",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "STACK",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "AVP OF REVENUE CYCLE MGMT",
"authorized_official_telephone_number": "716-880-7399"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "030723",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03370596",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131014",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pharmacy at Evergreen",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Pharmacy at Evergreen",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 29, 2022; 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.