Active NPI
Marianne Teresa Cacicia
- Pharmacist
- Amherst, NY
National Provider Identifier
1760790471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054666
- Practice address
- 3135 Niagara Falls Blvd
Amherst, NY 14228-1656 - Phone
- (716) 691-0810
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- 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 | 054666 | NY | Primary |
Addresses
Primary practice location
3135 Niagara Falls Blvd
Amherst, NY 14228-1656
Mailing address
4530 Beach Ridge Rd
Lockport, NY 14094-9637
Phone (716) 625-8479
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 |
|---|---|---|---|
| 054666 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1760790471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 BEACH RIDGE RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949637",
"telephone_number": "716-625-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 NIAGARA FALLS BLVD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142281656",
"telephone_number": "716-691-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACICIA",
"first_name": "MARIANNE",
"middle_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.