Organization Active NPI

Dexter Prescription Center Inc

  • Pharmacy
  • Buffalo, NY
National Provider Identifier
1801904438
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
017951 Issued in NY
Legal business name
DEXTER PRESCRIPTION CENTER INC
Practice address
1453 Jefferson Ave
Buffalo, NY 14208
Phone
(716) 885-7878
Fax
(716) 885-4412
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel L Rewhart, RPH
Title
President
Phone
(716) 885-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 017951 NY Primary

Addresses

Primary practice location

1453 Jefferson Ave
Buffalo, NY 14208

Mailing address

1453 Jefferson Ave
Buffalo, NY 14208
Phone (716) 885-7878

Other identifiers 1

IdentifierTypeStateIssuer
00801978MedicaidNY

National Provider Directory

National Provider Directory

Locations

1453 Jefferson Ave
Buffalo, NY 14208
Phone (716) 885-7878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604707200000",
    "number": "1801904438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 JEFFERSON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14208",
            "telephone_number": "716-885-7878",
            "fax_number": "716-885-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 JEFFERSON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14208",
            "telephone_number": "716-885-7878",
            "fax_number": "716-885-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A",
        "authorized_official_last_name": "REWHART",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-885-7878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "017951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00801978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.