NPIMap

Organization Active NPI

State of New York

Doing business as State University of New York at Buffalo

  • Compounding Pharmacy
  • Buffalo, NY
National Provider Identifier
1336493014
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
000021 Issued in NY
Legal business name
STATE OF NEW YORK
Doing business as
State University of New York at Buffalo
Practice address
201 Kapoor Hall
Buffalo, NY 14214-8033
Phone
(716) 645-2827
Fax
(716) 645-6094
NPI assigned
Nov 2, 2012
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Alfred Reiman
Title
Supervising Pharmacist
Phone
(716) 645-2827

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X 000021 NY Primary

Addresses

Primary practice location

201 Kapoor Hall
Buffalo, NY 14214-8033

Mailing address

201 Kapoor Hall
Buffalo, NY 14214-8033
Phone (716) 645-2827

Other identifiers 1

IdentifierTypeStateIssuer
2137137OtherPK

Other names 1

  • State University of New York at Buffalo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RPC-Middletown Mental Health Clinic269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1336493014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KAPOOR HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148033",
            "telephone_number": "716-645-2827",
            "fax_number": "716-645-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KAPOOR HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148033",
            "telephone_number": "716-645-2827",
            "fax_number": "716-645-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "REIMAN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "716-645-2827"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State University of New York at Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2016; 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.