NPIMap

Organization Active NPI

Penn Traffic Company the

Doing business as P and C Food and Pharmacy 3025

  • Community/Retail Pharmacy
  • Cicero, NY
National Provider Identifier
1063433399
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PENN TRAFFIC COMPANY THE
Doing business as
P and C Food and Pharmacy 3025
Practice address
7785 Frontage Rd
Cicero, NY 13039-8637
Phone
(315) 452-1048
Fax
(315) 214-0018
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
James Erba, RPH
Title
Pharmacy Systems Manager
Phone
(315) 461-2595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 022068 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7785 Frontage Rd
Cicero, NY 13039-8637

Mailing address

7785 Frontage Rd
Cicero, NY 13039-8637

Other identifiers 2

IdentifierTypeStateIssuer
3399385OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01254902MedicaidNY

Other names 1

  • P AND C FOOD AND PHARMACY 3025 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bilo Foods and Pharmacy 920711 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

7785 Frontage Rd
Cicero, NY 13039
Phone (315) 452-1048

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063433399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 FRONTAGE RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 FRONTAGE RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398637",
            "telephone_number": "315-452-1048",
            "fax_number": "315-214-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN TRAFFIC COMPANY THE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ERBA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY SYSTEMS MANAGER",
        "authorized_official_telephone_number": "315-461-2595",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022068",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3399385",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01254902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P AND C FOOD AND PHARMACY 3025",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.