NPIMap

Organization Active NPI

Metcare RX Pharmaceutical Services Group, LLC

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1629052295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
METCARE RX PHARMACEUTICAL SERVICES GROUP, LLC
Practice address
462 Grider St
Sussex Street Entrance
Buffalo, NY 14215-3021
Phone
(716) 332-2866
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cori Wyman, PHARM.D.
Title
Coordinator of Ambulatory Care Serv
Phone
(716) 332-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

462 Grider St
Sussex Street Entrance
Buffalo, NY 14215-3021

Mailing address

3201 W Commercial Blvd
Suite 130
Ft Lauderdale, FL 33309-3440
Phone (954) 653-1040

National Provider Directory

National Provider Directory
Tax ID family
Metcare RX Buffalo Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 W Commercial Blvd
Ste 130
Ft Lauderdale, FL 33309

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629052295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 130",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-653-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "SUSSEX STREET ENTRANCE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE RX PHARMACEUTICAL SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "COORDINATOR OF AMBULATORY CARE SERV",
        "authorized_official_telephone_number": "716-332-2866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.