Organization Active NPI

Lockport Pharmacy Inc

Doing business as Lockport Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Lockport, NY
National Provider Identifier
1417950072
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOCKPORT PHARMACY INC
Doing business as
Lockport Home Medical
Practice address
21 Main St
Lockport, NY 14094-3626
Phone
(716) 433-8735
Fax
(716) 433-0840
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Stephen Giroux, RPHNPI 1689763625
Title
Owner
Phone
(716) 735-3261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

21 Main St
Lockport, NY 14094-3626

Mailing address

21 Main St
Lockport, NY 14094-3626
Phone (716) 433-8735

Other identifiers 1

IdentifierTypeStateIssuer
01383408MedicaidNY

Other names 1

  • Lockport Home Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051630 NY DME Supplier - Medical Supply Company 8628196979 Practice locations: Lockport, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lockport Home Medical21 Main St, Lockport, NY 14094-3626(716) 433-8735 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Infrared Heating Pads Systems and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicle… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

21 Main St
Lockport, NY 14094
Phone (716) 433-8735

21 Main St
Ste 6
Lockport, NY 14094
Phone (716) 433-8735

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": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417950072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943626",
            "telephone_number": "716-433-8735",
            "fax_number": "716-433-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943626",
            "telephone_number": "716-433-8735",
            "fax_number": "716-433-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKPORT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIROUX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-735-3261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01383408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lockport Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.