Active NPI
Angelene Roberts
- Pharmacist
- Holland, NY
National Provider Identifier
1821994096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 074301
- Practice address
- 19 N Main St
Holland, NY 14080-9509 - Phone
- (716) 537-2822
- Fax
- (716) 537-2105
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- 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 | 074301 | NY | Primary |
Addresses
Primary practice location
19 N Main St
Holland, NY 14080-9509
Mailing address
319 Elmwood Ave Apt 1
Buffalo, NY 14222-2232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1821994096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 ELMWOOD AVE APT 1",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 N MAIN ST",
"city": "HOLLAND",
"state": "NY",
"postal_code": "140809509",
"telephone_number": "716-537-2822",
"fax_number": "716-537-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ANGELENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "074301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.