Active NPI
Alice C. Ceacareanu, PHARMD, PHD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Buffalo, NY
National Provider Identifier
1295087872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 56665
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29481 | Other | TN | TENNESSEE BOARD OF PHARMACY |
| RP442395 | Other | PA | PENNSYLVANIA BOARD OF PHARMACY |
| 56665 | Other | NY | NYS BOARD OF PHARMACY |
| 46686 | Other | TX | TEXAS BOARD OF PHARMACY |
| 19399 | Other | NC | NORTH CAROLINA BOARD OF PHARMACY |
| P010275 | Other | MS | MISSISSIPPI 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
| License | State | Type | Specialty |
|---|---|---|---|
| P010275 | MS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 19399 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 56665 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| RP442395 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 46686 | TX | MD | Pharmacist 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.