Seneca Pharmacy of Wny Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028552 Issued in NY

Legal business name

SENECA PHARMACY OF WNY INC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

1979 Seneca St
Buffalo, NY 14210-2352

Phone

(716) 827-4900

Fax

(716) 827-4901

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Tracy ArdalanNPI 1306029772

Title

Owner

Phone

(716) 827-4900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Elizabeth Ardalan, RPH

  • Pharmacist
  • Buffalo, NY
  • NPI 1306029772
  Authorized official Same address or phone

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1346439924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102387",
            "telephone_number": "716-827-4900",
            "fax_number": "716-827-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102352",
            "telephone_number": "716-827-4900",
            "fax_number": "716-827-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA PHARMACY OF WNY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "ARDALAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-827-4900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2965319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Martin Semrau, PHARM D.
• Baiba Senbruna, MD
• Laura M Senchoway
• Megan Sendker
• Seneca Cazenovia O S S
• Jill K Sengbusch, MA CCC SLP
• Philip Senger, M.D.
• Chelsey Monet Sengillo
• Sourav Sengupta, MD, MPH
• Tara L Senia, LMSW

• Community/Retail Pharmacy in Buffalo, NY
• Providers in Buffalo, 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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.