Active NPI
Rutowski of Amherst Inc
- Community/Retail Pharmacy
- Williamsville, NY
National Provider Identifier
1376615161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 026549
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02522609 | Medicaid | NY | |
| 2061672 | Other | PK |
Other names 1
- Family Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2185437 | Family Medical Pharmacy | Certificate of waiver | Mar 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rutowski of Amherst Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Williamsville, NY
- NPI 1851623508
-
- Pharmacist
- Williamsville, NY
- NPI 1326370933
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.