NPIMap

Organization Active NPI

Jericho Road Ministries Inc.

Doing business as JRCHC Pharmacy @ Barton

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1114682069
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JERICHO ROAD MINISTRIES INC.
Doing business as
JRCHC Pharmacy @ Barton
Practice address
184 Barton St
Buffalo, NY 14213-1573
Phone
(716) 427-7650
Fax
(716) 427-7651
NPI assigned
Nov 5, 2021
Organization subpart
Yes
Parent organization
JERICHO ROAD MINISTRIES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Karen Dann
Title
Chief Ancillary Services
Phone
(716) 573-5382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

184 Barton St
Buffalo, NY 14213-1573

Mailing address

184 Barton St
Buffalo, NY 14213-1573
Phone (716) 427-7650

Other identifiers 1

IdentifierTypeStateIssuer
07332790MedicaidNY

Other names 1

  • JRCHC Pharmacy @ Barton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220112000048 NY Part B Supplier - Pharmacy 5597992933 Practice locations: Buffalo, NY
O20220801002076 NY DME Supplier - Pharmacy 5597992933 Practice locations: Buffalo, NY

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Jericho Road Ministries, Inc.184 Barton St, Buffalo, NY 14213-1573(716) 427-7650 Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Enteral Nutrients Accepts assignmentParticipating since Dec 20, 2021

National Provider Directory

National Provider Directory
Tax ID family
Jericho Road Ministries Inc7 organizations share this tax ID, including this one
Part of
Jericho Road Ministries Inc

Other organizations with this tax ID 6

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

Locations

1129 Broadway St
Buffalo, NY 14212

100 E Tupper St
Buffalo, NY 14203
Phone (716) 539-6743

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jericho Road Community Health Center Vive ClinicBuffalo, NY, CCN 571918 Federally qualified health center Operational/Managerial Control Jul 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1114682069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-427-7650",
            "fax_number": "716-427-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-427-7650",
            "fax_number": "716-427-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO ROAD MINISTRIES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERICHO ROAD MINISTRIES INC.",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "DANN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "716-573-5382"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07332790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRCHC Pharmacy @ Barton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JRCHC Pharmacy @ Barton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.