Individual provider Active NPI

Cyrus Ardalan, RPH

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1093989535
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039342 Issued in NY
Practice address
1979 Seneca St
Buffalo, NY 14210-2352
Phone
(716) 827-4900
Fax
(716) 827-4901
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 039342 NY Primary

Addresses

Primary practice location

1979 Seneca St
Buffalo, NY 14210-2352

Mailing address

5345 E River Rd
Grand Island, NY 14072-1132
Phone (716) 773-4415

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
039342NYMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Fox Pharmacy, LLC. PastSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1093989535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 E RIVER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721132",
            "telephone_number": "716-773-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102352",
            "telephone_number": "716-827-4900",
            "fax_number": "716-827-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDALAN",
        "first_name": "CYRUS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.