Moden-Giroux Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017837 Issued in NY

Legal business name

MODEN-GIROUX INC

Practice address

81 Rochester Rd
Middleport, NY 14105-9638

Phone

(716) 735-3261

Fax

(716) 735-3351

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Zachary Giroux

Title

Cfo

Phone

(716) 260-1131

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 2

• Middleport Family Health Center Doing business as
• d/b/a Middleport Family Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Moden-Giroux Inc

  • Community/Retail Pharmacy
  • Depew, NY
  • NPI 1518058106

  3173641180

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moden-Giroux Inc

  • Community/Retail Pharmacy
  • Depew, NY
  • NPI 1518058106

  O20110311000579

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Moden-Giroux Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Moden Giroux Inc

  • Long Term Care Pharmacy
  • Middleport, NY
  • NPI 1376109850
  NPD tax ID
• Moden-Giroux Inc

  • Long Term Care Pharmacy
  • Depew, NY
  • NPI 1326820630
  NPD tax ID

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1073602017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141050188",
            "telephone_number": "716-735-3261",
            "fax_number": "716-735-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ROCHESTER RD",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141059638",
            "telephone_number": "716-735-3261",
            "fax_number": "716-735-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEN-GIROUX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "GIROUX",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-260-1131"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017837",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00775966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middleport Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "d/b/a Middleport Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Lynn Klos, LPN
• Lindsey Landi, PHARMD
• Ryan Lindenau, PHARM D
• Ronald K. Miller, RPA-C
• Moden Giroux Inc
• Quyen Nguyen
• Merin Varughese Panthapattu, PHARM.D
• Todd Parlato, DDS
• Amanda Pinski, PHARM.D.
• Keri Beth Pratt

• All providers in Middleport, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.