Organization Active NPI

Metcare RX Buffalo, Inc.

Doing business as Metcare RX ECMC Buffalo

  • Clinic Pharmacy
  • Buffalo, NY
National Provider Identifier
1447271002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
025521 Issued in NY
Legal business name
METCARE RX BUFFALO, INC.
Doing business as
Metcare RX ECMC Buffalo
Practice address
462 Grider St
Sussex Street Entrance
Buffalo, NY 14215-3021
Phone
(716) 332-2866
Fax
(716) 332-2880
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gina Hunt
Title
Senior VP Corporate Revenue
Phone
(954) 653-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 025521 NY Primary

Addresses

Primary practice location

462 Grider St
Sussex Street Entrance
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Sussex Street Entrance
Buffalo, NY 14215-3021
Phone (716) 332-2866

Other identifiers 1

IdentifierTypeStateIssuer
02495903MedicaidNY

Other names 1

  • Metcare RX ECMC Buffalo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metcare RX Buffalo Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447271002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "SUSSEX STREET ENTRANCE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-2866",
            "fax_number": "716-332-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "SUSSEX STREET ENTRANCE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-2866",
            "fax_number": "716-332-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE RX BUFFALO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SENIOR VP CORPORATE REVENUE",
        "authorized_official_telephone_number": "954-653-1040"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "025521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02495903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metcare RX ECMC Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.