Active NPI
Cheryl Lynn Domanick, R.PH.
- Pharmacist
- Orchard Park, NY
National Provider Identifier
1760695035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051355
- Practice address
- 40 Centre Dr
Orchard Park, NY 14127-4100 - Phone
- (716) 667-7500
- NPI assigned
- May 7, 2007
- 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 | 051355 | NY | Primary |
Addresses
Primary practice location
40 Centre Dr
Orchard Park, NY 14127-4100
Mailing address
33 Ventura Dr
Orchard Park, NY 14127-2381
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 |
|---|---|---|---|
| 051355 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1760695035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 VENTURA DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CENTRE DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141274100",
"telephone_number": "716-667-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMANICK",
"first_name": "CHERYL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.