Southgate Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025883 Issued in NY

Legal business name

SOUTHGATE MEDICAL PHARMACY INC

Practice address

1026 Union Rd
West Seneca, NY 14224-3449

Phone

(716) 712-0630

Fax

(716) 712-0633

NPI assigned

Jan 26, 2007

Last updated

Feb 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor John Lucci, RPHNPI 1295908465

Title

Supervising Pharmacist

Phone

(716) 712-0630

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Victor John Lucci, RPH

  • Pharmacist
  • West Seneca, NY
  • NPI 1295908465
  NPD Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1457407892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243445",
            "telephone_number": "716-712-0630",
            "fax_number": "716-712-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243449",
            "telephone_number": "716-712-0630",
            "fax_number": "716-712-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "LUCCI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "716-712-0630",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408148",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Soemann, MS, OTR/L
• Christopher Solecki
• Nancy A Sorci, PT
• Christine Souter, L.C.S.W.
• Southgate Medical Group,LLP
• Southtowns Cardiology, PC
• Southtowns Neurology of Western New York PC
• Southtowns P.T., PLLC
• Southtowns Physical Therapy Group PC
• Southtowns Radiation Oncology, PC

• Community/Retail Pharmacy in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.