Active NPI
Kristen Danielle Wudyka, PHARM.D.
- Pharmacist
- Buffalo, NY
National Provider Identifier
1609151034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55126
- Practice address
- 1010 Main St Ste 100
Buffalo, NY 14202-1102 - Phone
- (716) 541-1994
- Fax
- (716) 541-1996
- NPI assigned
- Oct 17, 2011
- Last updated
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55126 | NY | Primary |
Addresses
Primary practice location
1010 Main St Ste 100
Buffalo, NY 14202-1102
Mailing address
296 Walton Dr
Amherst, NY 14226-4835
Phone (716) 310-9013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55126 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1609151034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 WALTON DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264835",
"telephone_number": "716-310-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MAIN ST STE 100",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021102",
"telephone_number": "716-541-1994",
"fax_number": "716-541-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUDYKA",
"first_name": "KRISTEN",
"middle_name": "DANIELLE",
"name_prefix": "Miss",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "55126",
"primary": true
}
],
"identifiers": [],
"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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.