Allyson Leigh Raditic, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

096985I Issued in NY

Practice address

1728 Grand Island Blvd
Grand Island, NY 14072-2122

Phone

(716) 773-5599

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Island Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Grand Island, NY
  • NPI 1689894909
  NPD (past)
• Ivylea Pharmacy Inc

  • Community/Retail Pharmacy
  • Kenmore, NY
  • NPI 1144324104
  NPD (past)
• Ivylea Pharmacy Inc

  • Long Term Care Pharmacy
  • Kenmore, NY
  • NPI 1376307306
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Buffalo, NY
  • NPI 1275548323
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1639780265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722122",
            "telephone_number": "716-773-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722122",
            "telephone_number": "716-773-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2446 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142172244",
            "country_code": "US",
            "telephone_number": "716-873-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADITIC",
        "first_name": "ALLYSON",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "096985I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Petit, MS, CHES, TTS
• Pharmacy Operations of New York Inc
• Amy C Pickwell
• Thomas Edward Price, M.D.
• Jeanne Quintern, RPH
• Regina Rhodes
• Patricia Arlene Richard, P.T.
• Amy Jeanette Riederer, BA OTR/L
• Cathleen A Riso, PT
• Riverwood Health Care Center, Inc.

• All providers in Grand Island, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.