Individual provider Active NPI

Kathleen Alicia Pacella, RPH,PHARMD

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1487836813
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048685 Issued in NY
Practice address
2101 Elmwood Ave
Buffalo, NY 14207-1908
Phone
(716) 515-0055
Fax
(716) 515-0069
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048685 NY Primary

Addresses

Primary practice location

2101 Elmwood Ave
Buffalo, NY 14207-1908

Mailing address

2101 Elmwood Ave
Buffalo, NY 14207-1908
Phone (716) 515-0055

Other identifiers 1

IdentifierTypeStateIssuer
02842331MedicaidNY

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
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
048685NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1487836813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071908",
            "telephone_number": "716-515-0055",
            "fax_number": "716-515-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071908",
            "telephone_number": "716-515-0055",
            "fax_number": "716-515-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACELLA",
        "first_name": "KATHLEEN",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "RPH,PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02842331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.