Organization Active NPI

Cottrills Pharmacy Inc

  • Community/Retail Pharmacy
  • Orchard Park, NY
National Provider Identifier
1487194874
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COTTRILLS PHARMACY INC
Doing business as
Cottrills Pharmacy, Inc.
Practice address
4919 Ellicott Rd
Orchard Park, NY 14127-3357
Phone
(716) 508-8481
Fax
(716) 508-8482
NPI assigned
Mar 3, 2017
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Michael Grosshans, RPHNPI 1356022594
Title
Chief Clinical Officer/Dir. of Phar
Phone
(716) 508-8481

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4919 Ellicott Rd
Orchard Park, NY 14127-3357

Mailing address

4919 Ellicott Rd
Orchard Park, NY 14127-3357
Phone (716) 508-8481

Other identifiers 11

IdentifierTypeStateIssuer
320287MedicaidAZ
1487194874MedicaidIL
1487194874MedicaidMI
0790443 01MedicaidMD
04789873MedicaidNY
1027458620002MedicaidPA
7100436300MedicaidKY
2168227OtherPK
0226826MedicaidOH
1487194874MedicaidMT
250428333MedicaidDE

Other names 1

  • Cottrills Pharmacy, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121003000384 NY Part B Supplier - Pharmacy 1052568953 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orchard Park, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Cottrill's Pharmacy, Inc4919 Ellicott Rd, Orchard Park, NY 14127-3357(716) 508-8481 Infusion Drugs Accepts assignmentParticipating since Jul 5, 2012

National Provider Directory

National Provider Directory

Locations

255 Main St
Arcade, NY 14009
Phone (585) 492-2310

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": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1487194874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 ELLICOTT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273357",
            "telephone_number": "716-508-8481",
            "fax_number": "716-508-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 ELLICOTT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273357",
            "telephone_number": "716-508-8481",
            "fax_number": "716-508-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTRILLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "GROSSHANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER/DIR. OF PHAR",
        "authorized_official_telephone_number": "716-508-8481",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320287",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487194874",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487194874",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0790443 01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04789873",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027458620002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100436300",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226826",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487194874",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250428333",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottrills Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.