Lewiston Apothecary, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027194 Issued in NY

Legal business name

LEWISTON APOTHECARY, LLC

Practice address

400 Plain St
Lewiston, NY 14092-1627

Phone

(716) 754-4500

Fax

(716) 754-4521

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jayson B Bulmahn, RPH

Title

Managing Member

Phone

(716) 471-8067

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Jennifer Lynn Pofi, RPH

  • Pharmacist
  • Lewiston, NY
  • NPI 1457444929
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831103126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PLAIN ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921627",
            "telephone_number": "716-754-4500",
            "fax_number": "716-754-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLAIN ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921627",
            "telephone_number": "716-754-4500",
            "fax_number": "716-754-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BULMAHN",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "716-471-8067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02660644",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3343756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri L Lashomb, DC ATC
• Garwood Emerson Leckband, MD
• Jae Sung Lee, MD
• Charles J Lesh Jr., MD
• Michael F Lewis, PH.D.
• Lewiston Fire Company No 1 Inc
• Lewiston Orthopedics PC
• Lewiston Village Pediatrics
• Jennifer M Lloyd, PTA
• Noelle Suzanne Lohr, ANP

• Community/Retail Pharmacy in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.