Organization Active NPI

Sherman Area Pharmacy Inc

Doing business as Sherman Area Pharmacy

  • Pharmacy
  • Sherman, NY
National Provider Identifier
1104270206
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
034331 Issued in NY
Legal business name
SHERMAN AREA PHARMACY INC
Doing business as
Sherman Area Pharmacy
Practice address
105 W Main St
Sherman, NY 14781
Phone
(716) 761-6876
Fax
(716) 761-6224
NPI assigned
Apr 15, 2016
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Christan NyweideNPI 1568642288
Title
President /Owner
Phone
(716) 969-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 034331 NY Primary
Community/Retail Pharmacy 3336C0003X NU
Community/Retail Pharmacy 3336C0003X 34331 NY

Addresses

Primary practice location

105 W Main St
Sherman, NY 14781

Mailing address

8629 Highland Ave
Brocton, NY 14716-9713
Phone (716) 969-4334

Other identifiers 1

IdentifierTypeStateIssuer
2156088OtherPK

Other names 1

  • Sherman Area Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308000386 NY Part B Supplier - Pharmacy 6901194430 Practice locations: Sherman, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1104270206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 HIGHLAND AVE",
            "city": "BROCTON",
            "state": "NY",
            "postal_code": "147169713",
            "telephone_number": "716-969-4334",
            "fax_number": "716-761-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "SHERMAN",
            "state": "NY",
            "postal_code": "14781",
            "telephone_number": "716-761-6876",
            "fax_number": "716-761-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN AREA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "NYWEIDE",
        "authorized_official_first_name": "CHRISTAN",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "716-969-4334"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034331",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "34331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Area Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.