Organization Active NPI

Rahma Pharmacy Inc

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1548836711
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RAHMA PHARMACY INC
Practice address
964 Broadway St
Buffalo, NY 14212-1318
Phone
(716) 892-5555
Fax
(716) 892-0555
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Qing Liu
Title
Supervising Pharmacist
Phone
(716) 892-5555

Specialties & licenses 1

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

Addresses

Primary practice location

964 Broadway St
Buffalo, NY 14212-1318

Mailing address

964 Broadway St
Buffalo, NY 14212-1318
Phone (716) 892-5555

Other names 1

  • RAHMA PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001147 NY Part B Supplier - Pharmacy 5890182695 Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

964 Broadway St
Buffalo, NY 14212
Phone (716) 892-5555

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1548836711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121318",
            "telephone_number": "716-892-5555",
            "fax_number": "716-892-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121318",
            "telephone_number": "716-892-5555",
            "fax_number": "716-892-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHMA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "QING",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "716-892-5555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAHMA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAHMA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.