NPIMap

Organization Active NPI

Ivylea Pharmacy Inc

  • Long Term Care Pharmacy
  • Kenmore, NY
National Provider Identifier
1376307306
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
IVYLEA PHARMACY INC
Practice address
2446 Elmwood Ave
Kenmore, NY 14217-2244
Phone
(716) 873-1444
Fax
(716) 873-5496
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Dr. Charles Peter BaroneNPI 1578794236
Title
Owner
Phone
(716) 873-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2446 Elmwood Ave
Kenmore, NY 14217-2244

Mailing address

2446 Elmwood Ave
Kenmore, NY 14217-2244
Phone (716) 873-1444

Other names 1

  • Ivylea Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ivylea Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1376307306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172244",
            "telephone_number": "716-873-1444",
            "fax_number": "716-873-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172244",
            "telephone_number": "716-873-1444",
            "fax_number": "716-873-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYLEA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BARONE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-873-1444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivylea Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.