Individual provider Active NPI

Timothy J. Gallegos, RPH

  • Pharmacist
  • Lockport, NY
National Provider Identifier
1679542161
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35898-1 Issued in NY
Practice address
302 S Transit St
Lockport, NY 14094-4851
Phone
(716) 433-3733
Fax
(716) 433-3720
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35898-1 NY Primary
Pharmacist 183500000X RP-00004045 NM
Pharmacist 183500000X 143808-1701 UT

Addresses

Primary practice location

302 S Transit St
Lockport, NY 14094-4851

Mailing address

4631 Dickersonville Rd
Ransomville, NY 14131-9752
Phone (716) 754-8186

Other identifiers 1

IdentifierTypeStateIssuer
01981488MedicaidNY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP-00004045NMMDPharmacist
35898-1NYMDPharmacist
143808-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Todamar Inc Current Accepting new patients
Todamar Inc Current Accepting new patients

Locations

302 S Transit St
Lockport, NY 14094
Phone (716) 433-3733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679542161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 DICKERSONVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319752",
            "telephone_number": "716-754-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S TRANSIT ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944851",
            "telephone_number": "716-433-3733",
            "fax_number": "716-433-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "35898-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP-00004045",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "143808-1701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.