Buffalo Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

005240 Issued in MO

Legal business name

BUFFALO PROFESSIONAL PHARMACY INC

Practice address

308 W Dallas St
Buffalo, MO 65622-7635

Phone

(417) 345-6500

Fax

(417) 345-6565

NPI assigned

Sep 14, 2006

Organization subpart

No

Name

Al Nyberg

Title

President and Chief RPH

Phone

(417) 345-6500

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

• Alvin Nyberg, RPH

  • Pharmacist
  • Buffalo, MO
  • NPI 1558800888
  NPD

• CORNER DRUG STORE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2025.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602895104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Buffalo, MO
• 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.