Active NPI
Newfane Pharmacy Inc.
- Community/Retail Pharmacy
- Newfane, NY
National Provider Identifier
1851663876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031310
- Legal business name
- NEWFANE PHARMACY INC.
- Practice address
- 2780 Main St
Newfane, NY 14108-1237 - Phone
- (716) 778-0600
- Fax
- (716) 778-0601
- NPI assigned
- Feb 7, 2012
- Last updated
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyrus Ardalan
- Title
- Owner
- Phone
- (716) 778-0600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 031310 | NY | Primary |
Addresses
Primary practice location
2780 Main St
Newfane, NY 14108-1237
Mailing address
2780 Main Street
Newfane, NY 14108
Phone (716) 778-0600
Other names 1
- Newfane Pharmacy Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130222000338 | NY | DME Supplier - Pharmacy | 5395990378 | Practice locations: Newfane, NY |
| O20210108000773 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5395990378 | Practice locations: Newfane, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medicine Shoppe | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2780 Main St
Newfane, NY 14108
Phone (716) 778-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1851663876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 MAIN STREET",
"city": "NEWFANE",
"state": "NY",
"postal_code": "14108",
"telephone_number": "716-778-0600",
"fax_number": "716-778-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 MAIN ST",
"city": "NEWFANE",
"state": "NY",
"postal_code": "141081237",
"telephone_number": "716-778-0600",
"fax_number": "716-778-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWFANE PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-07",
"last_updated": "2025-09-19",
"certification_date": "2025-01-20",
"status": "A",
"authorized_official_last_name": "ARDALAN",
"authorized_official_first_name": "CYRUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-778-0600"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "031310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newfane Pharmacy Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newfane, NY
- Jamie A Mueller
- Newfane Central School District
- Newfane Family Chiropractic, PC
- Newfane Family Dentistry
- Newfane Operations, LLC
- David William Parsons, RPA-C
- Patricia J. Danaher-Haag (Patricia J Danaher MD)
- Peterson Drug Company of Newfane Ny, Inc.
- Dawn Angela Pirinelli, LPN
- Prayoon Prabharasuth, MD
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.