Patients Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PATIENTS PHARMACY INC

Doing business as

Patient's Pharmacy Randolph

Practice address

117 Main St Ste 3
Randolph, NY 14772-1116

Phone

(716) 483-6913

Fax

(716) 483-2554

NPI assigned

Jul 15, 2025

Last updated

Jan 30, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PATIENT'S PHARMACY, INC.As reported in NPPES

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

Authorized official

Name

Diane R. Mathews

Title

President/Owner

Phone

(716) 483-6913

Specialties & licenses 1

Addresses

Other names 1

• PATIENT'S PHARMACY RANDOLPH Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Patients Pharmacy Inc

  • Long Term Care Pharmacy
  • Jamestown, NY
  • NPI 1356520662

  1153527726

  Same PAC ID

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

Part of

Patients Pharmacy Inc

Locations

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1306738463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147020170",
            "telephone_number": "716-483-6913",
            "fax_number": "716-483-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST STE 3",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147721116",
            "telephone_number": "716-483-6913",
            "fax_number": "716-483-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATIENT'S PHARMACY, INC.",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-483-6913"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATIENT'S PHARMACY RANDOLPH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATIENT'S PHARMACY RANDOLPH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Moran
• James G Mruk, DDS
• Macey Nicole Myers, RN BSN
• Daniel Cole Nelson, RN
• Cheryl Ostrowski
• Brooke Patterson, M.S.
• Staci Pegelow
• Alexis Rae Peterson, LPN
• Cynthia Ann Peterson, MS, CCC-SLP
• Katherine Prendergast, LMSW

• Community/Retail Pharmacy in Randolph, NY
• Providers in Randolph, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.