Buffalo Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

005240 Issued in MO

Legal business name

BUFFALO PROFESSIONAL PHARMACY INC

Doing business as

Corner Drug Store

Practice address

308 W Dallas St
Buffalo, MO 65622-7635

Phone

(417) 345-6500

Fax

(417) 345-6565

NPI assigned

Sep 14, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Nyberg

Title

President and Chief RPH

Phone

(417) 345-6500

Specialties & licenses 3

Addresses

Other names 1

• CORNER DRUG STORE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alvin Nyberg, RPH

  • Pharmacist
  • Buffalo, MO
  • NPI 1558800888
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1831294792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656220710",
            "telephone_number": "417-345-6500",
            "fax_number": "417-345-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W DALLAS ST",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656227635",
            "telephone_number": "417-345-6500",
            "fax_number": "417-345-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF RPH",
        "authorized_official_telephone_number": "417-345-6500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "005240",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Buffalo, MO
• Providers in Buffalo, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.