Organization Active NPI

Elderwood Senior Care

Doing business as Birchwood Health Care Center Phcy

  • Long Term Care Pharmacy
  • Liverpool, NY
National Provider Identifier
1366547226
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
024388 Issued in NY
Legal business name
ELDERWOOD SENIOR CARE
Doing business as
Birchwood Health Care Center Phcy
Practice address
4800 Bear Rd
Liverpool, NY 13088-4604
Phone
(315) 457-9946
Fax
(716) 631-8732
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mark Luidwig
Title
Director
Phone
(716) 631-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 024388 NY Primary

Addresses

Primary practice location

4800 Bear Rd
Liverpool, NY 13088-4604

Mailing address

1142 Wehrle Dr
Williamsville, NY 14221-7748
Phone (716) 631-3381

Other identifiers 1

IdentifierTypeStateIssuer
3322322OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BIRCHWOOD HEALTH CARE CENTER PHCY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1366547226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217748",
            "telephone_number": "716-631-3381",
            "fax_number": "716-631-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BEAR RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884604",
            "telephone_number": "315-457-9946",
            "fax_number": "716-631-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERWOOD SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "LUIDWIG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-631-3381"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "024388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3322322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIRCHWOOD HEALTH CARE CENTER PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.