Summit Park Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

027337 Issued in NY

Legal business name

SUMMIT PARK PHARMACY INC

Practice address

2578 Niagara Falls Blvd
Suite 100
Niagara Falls, NY 14304-4681

Phone

(716) 297-7151

Fax

(716) 297-7110

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Sauls, RPHNPI 1013930064

Title

Supervising Pharmacist

Phone

(716) 731-3500

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Summit Park Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Park Pharmacy Inc

  • Long Term Care Pharmacy
  • Niagara Falls, NY
  • NPI 1386335180
  NPD tax ID

Locations

Practitioners 4

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

• Christopher Adam Sauls, RPH.

  • Pharmacist
  • Niagara Falls, NY
  • NPI 1013930064
  NPD Authorized official
• Sarah Lynne Fending, PHARMD

  • Pharmacist
  • Niagara Falls, NY
  • NPI 1225554330
  NPD
• Justin Saul Taylor, PHARM D

  • Pharmacist
  • Niagara Falls, NY
  • NPI 1912665068
  NPD (past)
• Jessica Waleszczak

  • Pharmacist
  • Olean, NY
  • NPI 1235815762
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1063427656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 NIAGARA FALLS BLVD",
            "address_2": "SUITE 100",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044681",
            "telephone_number": "716-297-7151",
            "fax_number": "716-297-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 NIAGARA FALLS BLVD",
            "address_2": "SUITE 100",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044681",
            "telephone_number": "716-297-7151",
            "fax_number": "716-297-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "716-731-3500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027337",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3349443",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia A Sturdivant, RN
• Deborah S Stypa, PHARMD.
• Subash Ramchand PC
• Jamal Suboh, MD
• Suburban Adult Medical Services PLLC
• Summit Park Pharmacy Inc
• Summit Pediatrics, P.C.
• Leslie J Svensson, PT, DPT, GCS
• Ramesh Kumar Swamiappan, MBBS MD
• Colleen Swavy

• Pharmacy in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.