John, Ross L., Sr. Native Pharmaceutical Direct

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026965 Issued in NY

Legal business name

JOHN, ROSS L., SR. NATIVE PHARMACEUTICAL DIRECT

Doing business as

Native Pharmaceutical Direct

Practice address

77 Main Street
The Sovereign Seneca Nation
Salamanca, NY 14779

Phone

(716) 945-6712

Fax

(716) 945-1520

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ross L. John Sr.

Title

Owner

Phone

(716) 945-6712

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Native Pharmaceutical Direct Doing business as

Practitioners 1

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

• Terry Myers, RPH

  • Pharmacist
  • Salamanca, NY
  • NPI 1730180969
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184713091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN STREET",
            "address_2": "THE SOVEREIGN SENECA NATION",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "14779",
            "telephone_number": "716-945-6712",
            "fax_number": "716-945-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN STREET",
            "address_2": "THE SOVEREIGN SENECA NATION",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "14779",
            "telephone_number": "716-945-6712",
            "fax_number": "716-945-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN, ROSS L., SR. NATIVE PHARMACEUTICAL DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-945-6712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3342146",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02662577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Native Pharmaceutical Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Kathlene Hunt, DPT
• Anne Huselstein, RPH
• Peter K Illig, RPH PHARMACIST
• Stephen J Illig, DDS
• Erica Ashley Jeter
• Michael Kalsman, MD
• Emily M Karn, PA
• Amy L. Kellogg, M.S.
• Lee Kronert, DC
• Lake Effect Applied Behavior Analysis PLLC

• Community/Retail Pharmacy in Salamanca, NY
• Providers in Salamanca, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.