NPIMap

Organization Active NPI

The Chautauqua Center, Inc

  • Community/Retail Pharmacy
  • Dunkirk, NY
National Provider Identifier
1487360137
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE CHAUTAUQUA CENTER, INC
Practice address
75 E 3Rd St
Dunkirk, NY 14048-2239
Phone
(716) 363-6050
NPI assigned
Jan 26, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHAUTAUQUA CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Michael C Pease
Title
Ceo
Phone
(716) 363-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

75 E 3Rd St
Dunkirk, NY 14048-2239

Mailing address

75 E 3Rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Other names 1

  • Waterfront Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20201111002239 NY Part B Supplier - Pharmacy 7214178326 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dunkirk, NY; Jamestown, NY
O20241105000358 NY DME Supplier - Pharmacy 7214178326 Practice locations: Dunkirk, NY
O20251121000333 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7214178326 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: South Dayton, NY; Dunkirk, NY; Jamestown, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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
The Chautauqua Center, Inc75 E 3Rd St, Dunkirk, NY 14048-223971636360501209 Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Feb 16, 2013

National Provider Directory

National Provider Directory
Tax ID family
The Chautauqua Center Inc7 organizations share this tax ID, including this one
Part of
The Chautauqua Center Inc

Other organizations with this tax ID 6

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": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1487360137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHAUTAUQUA CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHAUTAUQUA CENTER, INC",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "PEASE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-363-6890"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterfront Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.