NPIMap

Organization Active NPI

Neighborhood Health Center of Wny, Inc.

Doing business as Pharmacy at Blasdell

  • Community/Retail Pharmacy
  • Blasdell, NY
National Provider Identifier
1306356340
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035642 Issued in NY
Legal business name
NEIGHBORHOOD HEALTH CENTER OF WNY, INC.
Doing business as
Pharmacy at Blasdell
Practice address
4233 Lake Ave
Blasdell, NY 14219-1216
Phone
(716) 332-3380
Fax
(716) 332-3085
NPI assigned
Oct 4, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
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

Authorized official

Name
Joanne E Haefnerfnp
Title
Chief Executive Officer
Phone
(716) 875-2904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 035642 NY Primary

Addresses

Primary practice location

4233 Lake Ave
Blasdell, NY 14219-1216

Mailing address

4233 Lake Ave
Blasdell, NY 14219-1216
Phone (716) 332-3380

Other names 1

  • Pharmacy at Blasdell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180201001260 NY DME Supplier - Pharmacy 5193794972 Practice locations: Buffalo, NY
O20250305002823 NY Part B Supplier - Pharmacy 5193794972 2 other NPIs on this enrollment
Practice locations: Blasdell, NY; Buffalo, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Neighborhood Health Ctr of Wny Inc4233 Lake Ave, Buffalo, NY 14219-121671687529043901 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Health Center of Wny Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306356340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 LAKE AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191216",
            "telephone_number": "716-332-3380",
            "fax_number": "716-332-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 LAKE AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191216",
            "telephone_number": "716-332-3380",
            "fax_number": "716-332-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CENTER OF WNY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "HAEFNERFNP",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-875-2904"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy at Blasdell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blasdell, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.