Active NPI
Gary Charles Sandeen, PHARMACIST
- Pharmacist
- Dunkirk, NY
National Provider Identifier
1124350145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035577-1
- Practice address
- 3955 Vineyard Dr
Dunkirk, NY 14048-3572 - Phone
- (716) 366-2624
- Fax
- (716) 366-4047
- NPI assigned
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035577-1 | NY | Primary |
Addresses
Primary practice location
3955 Vineyard Dr
Dunkirk, NY 14048-3572
Mailing address
345 Maple Ave
Cassadaga, NY 14718-9722
Phone (716) 595-3061
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035577-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1124350145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MAPLE AVE",
"city": "CASSADAGA",
"state": "NY",
"postal_code": "147189722",
"telephone_number": "716-595-3061",
"fax_number": "716-366-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 VINEYARD DR",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140483572",
"telephone_number": "716-366-2624",
"fax_number": "716-366-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDEEN",
"first_name": "GARY",
"middle_name": "CHARLES",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035577-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.