Organization Active NPI

716 Pharmacy Inc

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1396689428
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
716 PHARMACY INC
Practice address
1807 Kenmore Ave.
Buffalo, NY 14217
Phone
(716) 240-9476
NPI assigned
Apr 17, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Rajveer DhaliwallNPI 1063127348
Title
President
Phone
(716) 622-3002

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
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1807 Kenmore Ave.
Buffalo, NY 14217

Mailing address

1807 Kenmore Ave.
Buffalo, NY 14217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260605000960 NY Part B Supplier - Pharmacy 2264903764 Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

1807 Kenmore Ave
Buffalo, NY 14217
Phone (716) 240-9476

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1396689428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 KENMORE AVE.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 KENMORE AVE.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-240-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "716 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "DHALIWALL",
        "authorized_official_first_name": "RAJVEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-622-3002"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.