Active NPI
PHS NFM, LLC
- Long Term Care Pharmacy
- Niagara Falls, NY
National Provider Identifier
1750968236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHS NFM, LLC
- Doing business as
- Parkview Rx Niagara Falls
- Practice address
- 621 10TH St Ste 172
Niagara Falls, NY 14301-1813 - Phone
- (716) 501-8623
- Fax
- (716) 501-5014
- NPI assigned
- Mar 29, 2021
- 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
- Justin Waclawek, PHARMD
- Title
- Director of Pharmacy
- Phone
- (716) 998-3468
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
621 10TH St Ste 172
Niagara Falls, NY 14301-1813
Mailing address
621 10TH St Ste 172
Niagara Falls, NY 14301-1813
Phone (716) 501-8623
Other names 1
- Parkview Rx Niagara Falls
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210720002156 | NY | DME Supplier - Pharmacy | 4688077282 | Practice locations: Niagara Falls, NY |
| O20220421001523 | NY | Part B Supplier - Pharmacy | 4688077282 | Practice locations: Niagara Falls, NY |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
621 10th St
Ste 172
Niagara Falls, NY 14301
Phone (716) 501-8623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1750968236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 10TH ST STE 172",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-501-8623",
"fax_number": "716-501-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST STE 172",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-501-8623",
"fax_number": "716-501-5014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHS NFM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "WACLAWEK",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "716-998-3468",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Rx Niagara Falls",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.