Individual provider Active NPI

Alice C. Ceacareanu, PHARMD, PHD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Buffalo, NY
National Provider Identifier
1295087872
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
56665 Issued in NY
Practice address
Elm and Carlton
Outpatient Leukemia Clinic
Buffalo, NY 14260-0001
Phone
(716) 845-8441
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 56665 NY Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 19399 NC
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP442395 PA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 29481 TN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 46686 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X P010275 MS

Addresses

Primary practice location

Elm and Carlton
Outpatient Leukemia Clinic
Buffalo, NY 14260-0001

Mailing address

701 Ellicott St
RM B4-308
Buffalo, NY 14203-1101
Phone (716) 881-7502

Other identifiers 6

IdentifierTypeStateIssuer
29481OtherTNTENNESSEE BOARD OF PHARMACY
RP442395OtherPAPENNSYLVANIA BOARD OF PHARMACY
56665OtherNYNYS BOARD OF PHARMACY
46686OtherTXTEXAS BOARD OF PHARMACY
19399OtherNCNORTH CAROLINA BOARD OF PHARMACY
P010275OtherMSMISSISSIPPI BOARD OF PHARMACY

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 Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
P010275MSMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
19399NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
56665NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP442395PAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
46686TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1295087872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ELLICOTT ST",
            "address_2": "RM B4-308",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031101",
            "telephone_number": "716-881-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON",
            "address_2": "OUTPATIENT LEUKEMIA CLINIC",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142600001",
            "telephone_number": "716-845-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEACAREANU",
        "first_name": "ALICE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PHARMD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "56665",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "19399",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP442395",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "29481",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "46686",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MS",
            "license": "P010275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BOARD OF PHARMACY",
            "identifier": "29481",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BOARD OF PHARMACY",
            "identifier": "RP442395",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD OF PHARMACY",
            "identifier": "56665",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "46686",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF PHARMACY",
            "identifier": "19399",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF PHARMACY",
            "identifier": "P010275",
            "state": "MS"
        }
    ],
    "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 Oct 8, 2012; 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.