Newfane Pharmacy Inc.
Organization Active NPI Community/Retail Pharmacy · Newfane, NY
NPI 1851663876 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1851663876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 031310 (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
- Organization subpart
- No
Authorized official
- Name
- Cyrus Ardalan
- Title
- Owner
- Phone
- (716) 778-0600
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medicine Shoppe |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| 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 |
National Provider Directory
Locations
2780 Main St
Newfane, NY 14108
Phone (716) 778-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 031310 | NY | Yes |
Addresses
Primary practice location
2780 Main St
Newfane, NY 14108-1237
Mailing address
2780 Main Street
Newfane, NY 14108
Phone (716) 778-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134524 | Other | PK | |
| 04170870 | Medicaid | NY |
Other names
- Newfane Pharmacy Inc.
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
- Patricia J. Danaher-Haag
- Peterson Drug Company of Newfane Ny, Inc.
- Dawn Angela Pirinelli
- Prayoon Prabharasuth
All providers in Newfane, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.