Active NPI
Ryan Balestreri
- Pharmacist
- Buffalo, NY
National Provider Identifier
1124623848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064298
- Practice address
- 4968 Harlem Rd
Buffalo, NY 14226-2560 - Phone
- (716) 839-2900
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS54136 | FL | |
| Pharmacist | 183500000X | 064298 | NY | Primary |
Addresses
Primary practice location
4968 Harlem Rd
Buffalo, NY 14226-2560
Mailing address
4968 Harlem Rd
Buffalo, NY 14226-2560
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rx00618@cvshealth.com | Other |
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 |
|---|---|---|---|
| PS54136 | FL | MD | Pharmacist |
| 064298 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Interoperability endpoints
- rx00618@cvshealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1124623848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4968 HARLEM RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142262560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4968 HARLEM RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142262560",
"telephone_number": "716-839-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALESTRERI",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54136",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rx00618@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Work",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "4968 Harlem Rd",
"city": "Buffalo",
"state": "NY",
"country_code": "US",
"postal_code": "142262560",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.