Organization Active NPI

RML Pharmacy PC

  • Community/Retail Pharmacy
  • Hamburg, NY
National Provider Identifier
1710040332
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RML PHARMACY PC
Practice address
4481 Lakeshore Rd
Hamburg, NY 14075-2404
Phone
(716) 627-3060
Fax
(716) 627-3129
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Mr. Ryan Lavarnway, RPHNPI 1598946626
Title
Phcst
Phone
(716) 627-3060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X 012037 NY
Pharmacy 333600000X 012037 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4481 Lakeshore Rd
Hamburg, NY 14075-2404

Mailing address

4481 Lakeshore Rd
Hamburg, NY 14075-2404
Phone (716) 627-3060

Other identifiers 2

IdentifierTypeStateIssuer
03725968MedicaidNY
3332258OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BROOKS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130705000379 NY DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - PharmacyDME Supplier - Medical Supply Company With Pedorthic Personnel 2062652589 Practice locations: Hamburg, NY
O20131120000004 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2062652589 Practice locations: Hamburg, NY
O20240531000362 NY Part B Supplier - Pharmacy 2062652589 Practice locations: Hamburg, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2185046RML Pharmacy PC4481 Lakeshore Rd, Hamburg, NY 14075Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

4481 Lake Shore Rd
Hamburg, NY 14075
Phone (716) 627-2000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1710040332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 LAKESHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752404",
            "telephone_number": "716-627-3060",
            "fax_number": "716-627-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LAKESHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752404",
            "telephone_number": "716-627-3060",
            "fax_number": "716-627-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RML PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "LAVARNWAY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHCST",
        "authorized_official_telephone_number": "716-627-3060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "012037",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "012037",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03725968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3332258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.