Active NPI
Stephanie B Lanza, PHARMD
- Pharmacist
- Clarence, NY
National Provider Identifier
1215550389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067116
- Practice address
- 9217 Main St
Clarence, NY 14031-1931 - Phone
- (716) 634-7901
- NPI assigned
- May 25, 2020
- Last updated
- Jan 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 067116 | NY | Primary |
Addresses
Primary practice location
9217 Main St
Clarence, NY 14031-1931
Mailing address
219 Potters Rd
Buffalo, NY 14220-2416
Phone (716) 289-3485
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 |
|---|---|---|---|
| 067116 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9217 Main St
Clarence, NY 14031
Phone (716) 634-7901
Organizations & group practices 3
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": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641600000000",
"number": "1215550389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 POTTERS RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202416",
"telephone_number": "716-289-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9217 MAIN ST",
"city": "CLARENCE",
"state": "NY",
"postal_code": "140311931",
"telephone_number": "716-634-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZA",
"first_name": "STEPHANIE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-25",
"last_updated": "2022-01-08",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.