Organization Active NPI

Rutowski of Amherst Inc

  • Community/Retail Pharmacy
  • Williamsville, NY
National Provider Identifier
1376615161
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026549 Issued in NY
Legal business name
RUTOWSKI OF AMHERST INC
Practice address
120 Plaza Drive
Williamsville, NY 14221-2345
Phone
(716) 568-0800
Fax
(716) 568-0801
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Mr. John Francis Rutowski, R.PH.
Title
Pres
Phone
(716) 861-2226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026549 NY Primary

Addresses

Primary practice location

120 Plaza Drive
Williamsville, NY 14221-2345

Mailing address

120 Plaza Drive
Williamsville, NY 14221-2345
Phone (716) 568-0800

Other identifiers 2

IdentifierTypeStateIssuer
02522609MedicaidNY
2061672OtherPK

Other names 1

  • Family Medical Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100107000066 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7315088770 Practice locations: Williamsville, NY
O20210525002153 NY DME Supplier - Pharmacy 7416356464 Practice locations: Williamsville, NY
O20210616003429 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7416356464 Practice locations: Williamsville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2185437Family Medical Pharmacy120 Plaza Drive, Williamsville, NY 14221Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rutowski of Amherst Inc120 Plaza Dr, Williamsville, NY 14221-2345(716) 568-0800 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 23, 2021

National Provider Directory

National Provider Directory

Locations

120 Plaza Dr
Williamsville, NY 14221
Phone (716) 568-0800

Practitioners & affiliated clinicians

Practitioners 2

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1376615161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PLAZA DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212345",
            "telephone_number": "716-568-0800",
            "fax_number": "716-568-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PLAZA DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212345",
            "telephone_number": "716-568-0800",
            "fax_number": "716-568-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTOWSKI OF AMHERST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "RUTOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "716-861-2226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02522609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.