Active NPI
Buffalo Pharmacies, Inc.
- Long Term Care Pharmacy
- Syracuse, NY
National Provider Identifier
1730109646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- BUFFALO PHARMACIES, INC.
- Practice address
- 813 Fay Rd Ste P1
Syracuse, NY 13219-3009 - Phone
- (315) 401-4500
- Fax
- (315) 401-4599
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Trent Voelkl
- Title
- Vice President
- Phone
- (716) 832-0599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
813 Fay Rd Ste P1
Syracuse, NY 13219-3009
Mailing address
1479 Kensington Ave
Buffalo, NY 14215-1436
Phone (716) 832-0599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021602 | Other | NY | STATE LICENSE |
| 3372721 | Other | NY | NABP |
| 00997113 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160201001207 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698893337 | Practice locations: Buffalo, NY; East Amherst, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Buffalo Pharmacies Institutional
- Long Term Care Pharmacy
- Williamsville, NY
- NPI 1184666968
5698893337
-
- Durable Medical Equipment & Medical Supplies
- Buffalo, NY
- NPI 1194745307
5698893337
National Provider Directory
National Provider DirectoryLocations
813 Fay Rd
Ste P1
Syracuse, NY 13219
Phone (315) 342-6822
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Syracuse, NY
- NPI 1104467695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571875200000",
"number": "1730109646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 KENSINGTON AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151436",
"telephone_number": "716-832-0599",
"fax_number": "716-832-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 FAY RD STE P1",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193009",
"telephone_number": "315-401-4500",
"fax_number": "315-401-4599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFFALO PHARMACIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2019-10-24",
"status": "A",
"authorized_official_last_name": "VOELKL",
"authorized_official_first_name": "TRENT",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "716-832-0599",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "021602",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3372721",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00997113",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.