Organization Active NPI

Abbott Pharmacy, Inc.

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1578858262
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030656 Issued in NY
Legal business name
ABBOTT PHARMACY, INC.
Doing business as
Medicine Shoppe
Practice address
1979 Seneca St
Buffalo, NY 14210-2352
Phone
(716) 822-4400
NPI assigned
Jun 10, 2011
Last updated
Jan 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Cyrus ArdalanNPI 1093989535
Title
Owner
Phone
(716) 796-5668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030656 NY Primary

Addresses

Primary practice location

1979 Seneca St
Buffalo, NY 14210-2352

Mailing address

3038 Bailey Ave
Buffalo, NY 14215-2814
Phone (716) 822-4400

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

3038 Bailey Ave
Buffalo, NY 14215
Phone (716) 822-4400

830 Abbott Rd
Buffalo, NY 14220
Phone (716) 822-4400

Practitioners & affiliated clinicians

Practitioners 3

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": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1578858262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-822-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102352",
            "telephone_number": "716-822-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "ARDALAN",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-796-5668"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "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 Jan 6, 2014; 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.