Individual provider Active NPI

Nathan Welka, PHARMD

  • Pharmacist
  • North Tonawanda, NY
National Provider Identifier
1407261563
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
059219 Issued in NY
Practice address
7275 Lakeview CT
North Tonawanda, NY 14120-9711
Phone
(716) 430-3550
NPI assigned
Jun 27, 2014
Last updated
Jun 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 059219 NY Primary

Addresses

Primary practice location

7275 Lakeview CT
North Tonawanda, NY 14120-9711

Mailing address

7275 Lakeview CT
Pendleton, NY 14120
Phone (716) 430-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
059219NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1407261563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 LAKEVIEW CT",
            "city": "PENDLETON",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-430-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 LAKEVIEW CT",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209711",
            "telephone_number": "716-430-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKA",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.