Ellicottville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELLICOTTVILLE PHARMACY INC

Practice address

6133 Route 219 S Ste 1004
Ellicottville, NY 14731-9613

Phone

(716) 699-2384

NPI assigned

May 12, 2020

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ELLICOTTVILLE PHARMACY INC.As reported in NPPES

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

Authorized official

Name

Mr. Benjamin Gilroy, RPH

Title

President

Phone

(716) 699-2384

Specialties & licenses 2

Addresses

Tax ID family

Park Pharmacy2 organizations share this tax ID, including this one

Part of

Park Pharmacy

Other organizations with this tax ID 1

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

• Ellicottville Pharmacy Inc

  • Community/Retail Pharmacy
  • Ellicottville, NY
  • NPI 1316971856
  NPD tax ID

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1689296733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 ROUTE 219 S STE 1004",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147319613",
            "telephone_number": "716-699-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROUTE 219 S STE 1004",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147319613",
            "telephone_number": "716-699-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTTVILLE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLICOTTVILLE PHARMACY INC.",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "GILROY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-699-2384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellicottville Great Valley Ambulance Inc
• Ellicottville Medical
• Ellicottville Oasis Day Spa Inc.
• Ellicottville Optical Inc.
• Ellicottville Pharmacy Inc
• General Physician, PC (Olean Medical Group)
• Diana Marie Golley, RN
• Leaudra Hackett
• Katelyn Elizabeth Johnson-Clark, D.O.
• Darla Jean Kent, OTD, MS, OTR/L

• Community/Retail Pharmacy in Ellicottville, NY
• Providers in Ellicottville, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.