Active NPI
Veterans Administration Western New York Healthcare System
- General Acute Care Hospital
- Buffalo, NY
National Provider Identifier
1639104839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 027125
- Legal business name
- VETERANS ADMINISTRATION WESTERN NEW YORK HEALTHCARE SYSTEM
- Practice address
- 3495 Bailey Ave
Buffalo, NY 14215-1129 - Phone
- (716) 862-6334
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Theodore Gerard Pudhorodsky, R.PH.
- Title
- Pharmacy Manager
- Phone
- (716) 862-6334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 027125 | NY | Primary |
Addresses
Primary practice location
3495 Bailey Ave
Buffalo, NY 14215-1129
Mailing address
21 Old Farm Rd
Orchard Park, NY 14127-2853
Phone (716) 667-3967
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Orchard Park, NY
- NPI 1881859031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1639104839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OLD FARM RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272853",
"telephone_number": "716-667-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151129",
"telephone_number": "716-862-6334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS ADMINISTRATION WESTERN NEW YORK HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PUDHORODSKY",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "716-862-6334",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "027125",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.