Grand Island Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028339 Issued in NY

Legal business name

GRAND ISLAND PHARMACY, INC.

Doing business as

Island Prescription Center

Practice address

1728 Grand Island Blvd
Grand Island, NY 14072

Phone

(716) 773-5665

Fax

(716) 773-5665

NPI assigned

Apr 27, 2007

Last updated

Aug 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan M Lavarnway

Title

President

Phone

(716) 553-6515

Specialties & licenses 1

Addresses

Other names 1

• Island Prescription Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Peter C. Klopp, PHARMD

  • Pharmacist
  • Grand Island, NY
  • NPI 1386454932
  NPD (past)
• Allyson Leigh Raditic, PHARMD

  • Pharmacist
  • Grand Island, NY
  • NPI 1639780265
  NPD (past)
• Christine Marie Vanhouten

  • Pharmacist
  • Grand Island, NY
  • NPI 1710203153
  NPD (past)
• Ryan Jeffrey Miller, PHARM.D.

  • Pharmacist
  • Greenville, NC
  • NPI 1902448699
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1689894909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BURROUGH RD",
            "city": "COWLESVILLE",
            "state": "NY",
            "postal_code": "140379752",
            "telephone_number": "716-553-6515",
            "fax_number": "716-773-5665"
        },
        {
            "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": "14072",
            "telephone_number": "716-773-5665",
            "fax_number": "716-773-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ISLAND PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "LAVARNWAY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-553-6515"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tricia Lee Giambelluca, MHC
• Grand Island Bodyworks Physical Therapy PLLC
• Grand Island Central School District
• Grand Island Chiropractic PC
• Grand Island Optical Co. Inc.
• Grand Island Physical Therapy PC
• Grand Island Primary Medical Care, LLP
• Melisa Granville, LMSW
• Marissa Louise Gress, RN
• Lisa Marie Guariglia

• Community/Retail Pharmacy in Grand Island, NY
• Providers in Grand Island, 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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.