Active NPI
Annette Ruch Molik
- Pharmacist
- Angola, NY
National Provider Identifier
1710200746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041492
- Practice address
- 9050 Erie Rd
Angola, NY 14006-9556 - Phone
- (716) 549-0324
- Fax
- (716) 549-0523
- NPI assigned
- Mar 4, 2010
- Last updated
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041492 | NY | Primary |
Addresses
Primary practice location
9050 Erie Rd
Angola, NY 14006-9556
Mailing address
9050 Erie Rd
Angola, NY 14006-9556
Phone (716) 549-0324
Other practice location 1
578 Dick Rd
Depew, NY 14043-1846
Phone (716) 683-9870
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041492 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9050 Erie Rd
Angola, NY 14006
Phone (716) 549-0324
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1710200746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9050 ERIE RD",
"city": "ANGOLA",
"state": "NY",
"postal_code": "140069556",
"telephone_number": "716-549-0324",
"fax_number": "716-549-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 ERIE RD",
"city": "ANGOLA",
"state": "NY",
"postal_code": "140069556",
"telephone_number": "716-549-0324",
"fax_number": "716-549-0523"
}
],
"practiceLocations": [
{
"address_1": "578 Dick Rd",
"address_purpose": "LOCATION",
"city": "Depew",
"state": "NY",
"postal_code": "140431846",
"country_code": "US",
"telephone_number": "716-683-9870",
"fax_number": "716-683-2561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLIK",
"first_name": "ANNETTE",
"middle_name": "RUCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.