Active NPI
Alfred John Gavazzi, RPH
- Pharmacist
- Lockport, NY
National Provider Identifier
1750560082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025886
- Practice address
- 125 S Transit Rd
Lockport, NY 14094-4834 - Phone
- (716) 433-2678
- Fax
- (716) 433-3701
- NPI assigned
- Nov 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 025886 | NY | Primary |
Addresses
Primary practice location
125 S Transit Rd
Lockport, NY 14094-4834
Mailing address
125 S Transit Rd
Lockport, NY 14094-4834
Phone (716) 433-2678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025886 | Other | NY | STATE LICENSE |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025886 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1750560082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S TRANSIT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140944834",
"telephone_number": "716-433-2678",
"fax_number": "716-433-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S TRANSIT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140944834",
"telephone_number": "716-433-2678",
"fax_number": "716-433-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVAZZI",
"first_name": "ALFRED",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-03",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "025886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "025886",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.