Active NPI
Madison Jean Mortimer, PHARMD
- Pharmacist
- Buffalo, NY
National Provider Identifier
1205401841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068430
- Practice address
- 144 Genesee St
Buffalo, NY 14203-1560 - Phone
- (716) 303-3890
- NPI assigned
- May 25, 2021
- Last updated
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 068430 | NY | Primary |
Addresses
Primary practice location
144 Genesee St
Buffalo, NY 14203-1560
Mailing address
144 Genesee St
Buffalo, NY 14203-1560
Phone (716) 303-3890
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068430 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New York Inc | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| Rite Aid of New York Inc | Past | Accepting new patients | |
| CVS Albany, L.L.C. | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
dba Rite Aid Pharmacy 01674
- Community/Retail Pharmacy
- Cheektowaga, NY
- NPI 1053422196
-
dba Rite Aid Pharmacy 03733
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1205401841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 GENESEE ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031560",
"telephone_number": "716-303-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 GENESEE ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031560",
"telephone_number": "716-303-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTIMER",
"first_name": "MADISON",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.