Erie Canal LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034950 Issued in NY

Legal business name

ERIE CANAL LLC

Practice address

60 Finn Rd Ste B
Henrietta, NY 14467-9393

Phone

(585) 486-4807

Fax

(585) 444-9224

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Khalid Habib, RPH

Title

Pharmacy Manager/Owner

Phone

(585) 486-4807

Specialties & licenses 1

Addresses

Other names 1

• Erie Pharmacy Doing business as

Locations

Practitioners 1

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

• Lori Sharpe

  • Pharmacist
  • Henrietta, NY
  • NPI 1730691544
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1043762875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FINN ROAD SUITE B",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "14467",
            "telephone_number": "585-486-4807",
            "fax_number": "585-444-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FINN RD STE B",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679393",
            "telephone_number": "585-486-4807",
            "fax_number": "585-444-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE CANAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "585-486-4807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erie Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Dupre, RPH
• Durable Medical Equipment & Supplies LTD
• Kristen E Dyer, NP
• Erica Lynn Eason
• Michael P Elphick, LCSW
• Erie Station Optical, Inc.
• George Robert Falcon, LCSW
• Finger Lakes Dental Care of West Henrietta, PLLC
• Diane Rita Finnerty, AU.D.
• Michael Philip Flannery Jr.

• Community/Retail Pharmacy in Henrietta, NY
• Providers in Henrietta, 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 Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.