Buffalo Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552422 Issued in WV

Legal business name

BUFFALO DRUG INC

Doing business as

Buffalo Drug

Practice address

1905 Buffalo Road
Buffalo, WV 25033

Phone

(304) 937-3000

Fax

(304) 937-4141

NPI assigned

Jun 22, 2011

Last updated

Aug 25, 2014By 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

Jackson Noel

Title

Owner/RPH

Phone

(304) 553-3383

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Buffalo Drug Doing business as

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1689960247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "BUFFALO",
            "state": "WV",
            "postal_code": "250330007",
            "telephone_number": "304-937-3000",
            "fax_number": "304-937-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BUFFALO ROAD",
            "city": "BUFFALO",
            "state": "WV",
            "postal_code": "25033",
            "telephone_number": "304-937-3000",
            "fax_number": "304-937-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "304-553-3383"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130850",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810020926",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bison RX Inc.
• Bobbie Jean Blankenship
• Diana Lee Bonecutter, RN
• Mariana Lizzette Bradley
• Jessica Bridwell
• Heather Renee Conway, FNP-BC
• Susan R Erwin
• Dianje Turner Fitzsimmons, R.PH
• Tina Marie Goddard
• Dale Green

• Community/Retail Pharmacy in Buffalo, WV
• Providers in Buffalo, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.