Active NPI
Ronald Ernewein
- Pharmacist
- Blasdell, NY
National Provider Identifier
1467635227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21377
- Practice address
- 4281 Lake Ave
Blasdell, NY 14219 - Phone
- (716) 823-4481
- NPI assigned
- Dec 14, 2007
- Last updated
- Dec 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21377 | NY | Primary |
Addresses
Primary practice location
4281 Lake Ave
Blasdell, NY 14219
Mailing address
44 Browning Dr
Hamburg, NY 14075-4202
Phone (716) 649-7922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00484359 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21377 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1467635227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BROWNING DR",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140754202",
"telephone_number": "716-649-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4281 LAKE AVE",
"city": "BLASDELL",
"state": "NY",
"postal_code": "14219",
"telephone_number": "716-823-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNEWEIN",
"first_name": "RONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "21377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00484359",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blasdell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.