Springcreek Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

038947-1 Issued in NY

Legal business name

SPRINGCREEK PHARMACY

Practice address

227 W Main St
Springville, NY 14141-1017

Phone

(716) 592-9065

Fax

(716) 592-9064

NPI assigned

Sep 28, 2006

Last updated

Feb 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David J Wiiliams, RPH

Title

Owner/RPH

Phone

(716) 592-9065

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David John Williams, RPH

  • Pharmacist
  • Springville, NY
  • NPI 1487859732
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1063504215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411017",
            "telephone_number": "716-592-9065",
            "fax_number": "716-592-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411017",
            "telephone_number": "716-592-9065",
            "fax_number": "716-592-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGCREEK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "WIILIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "716-592-9065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "038947-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005513171",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "10178460",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030176701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "8210881",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Cheri Smith, NP
• Lynn Smith
• Catherine Sobota
• Somnuus Certified Registered Professional Nurse Anesthetist, PLLC
• Lauralee Marie Sprague, FNP
• Springville Eye Care, LLC
• Springville Pediatrics, LLP
• Springville Pharmacy LLC
• Springville Pharmacy LLC (Springville Pharmacy)
• Megan Olivia Stang, COTA/L

• Durable Medical Equipment & Medical Supplies in Springville, NY
• Providers in Springville, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.