Oncomed the Oncology Pharmacy of Buffalo Ny LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

030717 Issued in NY

Legal business name

ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO NY LLC

Practice address

140 John James Audubon Pkwy Ste 101
Amherst, NY 14228-1183

Phone

(877) 662-6633

Fax

(877) 662-6355

NPI assigned

Nov 23, 2016

Organization subpart

Yes

Parent organization

SINA DRUG CORPAs reported in NPPES

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

Authorized official

Name

Amy Konak

Title

VP, Reimbursement Revenue Cycle MGT

Phone

(877) 662-6633

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Onco3602 organizations share this tax ID, including this one

Part of

Sina Drug LLC

Other organizations with this tax ID 1

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

• Oncomed the Oncology Pharmacy of Buffalo Ny LLC

  dba Onco360

  • Specialty Pharmacy
  • Amherst, NY
  • NPI 1871885798
  NPD tax ID

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1083157036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633",
            "fax_number": "502-849-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHN JAMES AUDUBON PKWY STE 101",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281183",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO NY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINA DRUG CORP",
        "enumeration_date": "2016-11-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KONAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP, REIMBURSEMENT REVENUE CYCLE MGT",
        "authorized_official_telephone_number": "877-662-6633"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "030717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "030717",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03398818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Anne Olewnik, PA-C
• Maria Lurdes Oliveira, MD
• Jessica Rose Olivieri, LMSW
• Oncology Research & Theraputics, LLC
• Oncology Research Therapuetics
• Oncomed the Oncology Pharmacy of Buffalo Ny LLC (Onco360)
• Ordinary Mind Mental Health Counseling Services
• Sierra Anna Paige Orfei, PHARMD
• Andres Orffeo, LMT
• Ann E. Orffeo, RN, LMT

• Specialty Pharmacy in Amherst, NY
• Providers in Amherst, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.