Individual provider Active NPI

Nathaniel William Varnum, R.PH., MBA-HCM

  • Pharmacist
  • Cheektowaga, NY
National Provider Identifier
1235301987
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048105 Issued in NY
Practice address
1180 French Rd
Cheektowaga, NY 14227-3706
Phone
(716) 656-0173
Fax
(716) 656-0535
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048105 NY Primary

Addresses

Primary practice location

1180 French Rd
Cheektowaga, NY 14227-3706

Mailing address

1180 French Rd
Cheektowaga, NY 14227-3706
Phone (716) 656-0173

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
048105NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jul 24, 2022 Accepting new patients
Walgreen Co PastSince Jul 24, 2022 Accepting new patients

Locations

1180 French Rd
Cheektowaga, NY 14227
Phone (716) 656-0173

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235301987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 FRENCH RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142273706",
            "telephone_number": "716-656-0173",
            "fax_number": "716-656-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 FRENCH RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142273706",
            "telephone_number": "716-656-0173",
            "fax_number": "716-656-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNUM",
        "first_name": "NATHANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "R.PH., MBA-HCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.