Paul Otto Stage II, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

070603 Issued in NY

Practice address

9 Roycroft Pkwy
Elma, NY 14059-9316

Phone

(716) 980-0100

Fax

(716) 980-0104

NPI assigned

Aug 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highgate Medical Group

  • Family Medicine Physician
  • Amherst, NY
  • NPI 1326158593
  NPD (past)
• Highgate Medical Group

  • Skilled Nursing Facility
  • West Amherst, NY
  • NPI 1457884470
  NPD (past)

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1124801626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WELLINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232518",
            "telephone_number": "716-397-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ROYCROFT PKWY",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599316",
            "telephone_number": "716-980-0100",
            "fax_number": "716-980-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 E Robinson Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "West Amherst",
            "state": "NY",
            "postal_code": "142282044",
            "country_code": "US",
            "telephone_number": "716-564-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2914 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142171332",
            "country_code": "US",
            "telephone_number": "716-875-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGE",
        "first_name": "PAUL",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "070603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Robert Smith Jr., D.C.
• Scott Smolarek, D.M.D
• Michelle Marie Snyder, COTA
• Ritu Sood, MD
• Donna Stachowski
• Michael Peter Strosky Jr., PT
• Suburban Adult Services-Inc.
• Amy Suda, OD
• Heather Carol Syracuse, MA,CCC,SLP
• Ryann Illig Taylor, MS, APRN

• Ambulatory Care Pharmacist in Elma, NY
• Providers in Elma, NY by specialty
• Ambulatory Care Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.