Active NPI
Ethan Reff
- Pharmacist
- North Chili, NY
National Provider Identifier
1265250435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 071999
- Practice address
- 4366 Buffalo Rd
North Chili, NY 14514-1206 - Phone
- (585) 594-5689
- NPI assigned
- Sep 27, 2024
- Sex
- Male
- 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 | 071999 | NY | Primary |
Addresses
Primary practice location
4366 Buffalo Rd
North Chili, NY 14514-1206
Mailing address
4366 Buffalo Road
North Chili, NY 14514
Phone (585) 594-5689
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071999 | NY | MD | Clinical Social Worker |
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
4366 Buffalo Rd
North Chili, NY 14514
Phone (585) 594-5689
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": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1265250435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4366 BUFFALO ROAD",
"city": "NORTH CHILI",
"state": "NY",
"postal_code": "14514",
"telephone_number": "585-594-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4366 BUFFALO RD",
"city": "NORTH CHILI",
"state": "NY",
"postal_code": "145141206",
"telephone_number": "585-594-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REFF",
"first_name": "ETHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-27",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "071999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chili, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.