Individual provider Active NPI

Jacqueline Ann Cansdale

  • Pharmacist
  • Depew, NY
National Provider Identifier
1063690253
Registry record updated Feb 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044928 Issued in NY
Practice address
4920 Transit Rd
T2191
Depew, NY 14043-4625
Phone
(716) 608-2021
Fax
(716) 608-2021
NPI assigned
Feb 10, 2008
Last updated
Feb 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044928 NY Primary

Addresses

Primary practice location

4920 Transit Rd
T2191
Depew, NY 14043-4625

Mailing address

28 Americo CT
Lancaster, NY 14086-3424
Phone (716) 683-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
044928NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202601600000",
    "number": "1063690253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AMERICO CT",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863424",
            "telephone_number": "716-683-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 TRANSIT RD",
            "address_2": "T2191",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434625",
            "telephone_number": "716-608-2021",
            "fax_number": "716-608-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSDALE",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; 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.