Active NPI
Sherman Area Pharmacy Inc
Doing business as Sherman Area Pharmacy
- Pharmacy
- Sherman, NY
National Provider Identifier
1104270206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 034331
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christan Nyweide
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2156088 | Other | PK |
Other names 1
- Sherman Area Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170308000386 | NY | Part B Supplier - Pharmacy | 6901194430 | Practice locations: Sherman, NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Sherman, NY
- NPI 1568642288
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.