Organization Active NPI

Newfane Pharmacy Inc.

  • Community/Retail Pharmacy
  • Newfane, NY
National Provider Identifier
1851663876
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031310 Issued in NY
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Medicine Shoppe2780 Main Street, Newfane, NY 14108(716) 778-0600 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 8, 2021

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.