Organization Active NPI

Specialty Pharmacy Management, LLC

Doing business as Reliance Rx

  • Specialty Pharmacy
  • Amherst, NY
National Provider Identifier
1205157153
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
030138 Issued in NY
Legal business name
SPECIALTY PHARMACY MANAGEMENT, LLC
Doing business as
Reliance Rx
Practice address
15 Earhart Drive Ste 101
Amherst, NY 14221
Phone
(716) 929-1000
Fax
(716) 532-7360
NPI assigned
Jun 15, 2010
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
John Rodgers, RPH
Title
Evp-Chief Operating Officer
Phone
(716) 631-3001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X 030138 NY Primary

Addresses

Primary practice location

15 Earhart Drive Ste 101
Amherst, NY 14221

Mailing address

15 Earhart Drive Ste 101
Amherst, NY 14221
Phone (716) 929-1000

Other identifiers 1

IdentifierTypeStateIssuer
2126294OtherPK

Other names 1

  • Reliance Rx Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130102000278 NY DME Supplier - Pharmacy 7517110380 Practice locations: Amherst, NY
O20240709000451 NY Part B Supplier - Pharmacy 7517110380 Practice locations: Amherst, NY

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
Speciality Pharmacy Management LLC15 Earhart Dr, Amherst, NY 14221-7079(716) 929-1000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 26, 2012

National Provider Directory

National Provider Directory

Locations

15 Earhart Dr
#101
Williamsville, NY 14221
Phone (716) 334-3973

45 Earhart Dr
Ste 110
Williamsville, NY 14221
Phone (716) 532-7362

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1205157153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EARHART DRIVE STE 101",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-929-1000",
            "fax_number": "716-532-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EARHART DRIVE STE 101",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-929-1000",
            "fax_number": "716-532-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP-CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "716-631-3001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "030138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliance Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reliance Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.