Nickel City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027834 Issued in NY

Legal business name

NICKEL CITY PHARMACY INC

Practice address

1791 S Park Ave
Buffalo, NY 14220-1411

Phone

(716) 823-8300

Fax

(716) 823-8301

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Cyrus Ardalan, RPH

Title

Manager

Phone

(716) 824-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Marie Beck, PHARM D

  • Pharmacist
  • Buffalo, NY
  • NPI 1235304338
  NPD (past)
• Jonathan Nicholas Caruso, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1659650190
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1467566448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201411",
            "telephone_number": "716-823-8300",
            "fax_number": "716-823-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201411",
            "telephone_number": "716-823-8300",
            "fax_number": "716-823-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKEL CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "ARDALAN",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-824-5200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068106",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2768812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol M Nicholson, CAROL NICHOLSON,ED.M
• Erica Nicholson
• Sarah Elizabeth Nicholson, LMSW
• Tiffany Nicholson, NURSE PRACTITIONER
• Nickel City Group, LLC
• Debbie Nickson
• Dia Helen Nicolatos, LCSWR
• Nicoles Elysian Massage
• Lori Nicolini
• Amy Nicosia Boeckel

• Community/Retail Pharmacy in Buffalo, NY
• Providers in Buffalo, 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 Sep 2, 2025; 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.