Individual provider Active NPI

Mary Elizabeth Nufryk, RPH PHARMACIST

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1861512246
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0322411 Issued in NY
Practice address
4414 Culver Rd
W.a.B. Drug
Rochester, NY 14622-1540
Phone
(585) 323-1470
Fax
(585) 323-2810
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0322411 NY Primary

Addresses

Primary practice location

4414 Culver Rd
W.a.B. Drug
Rochester, NY 14622-1540

Mailing address

679 Vosburg Road
Webster, NY 14580-1537
Phone (585) 748-4605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0322411NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wab Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1861512246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 VOSBURG ROAD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801537",
            "telephone_number": "585-748-4605",
            "fax_number": "585-323-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 CULVER RD",
            "address_2": "W.A.B. DRUG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146221540",
            "telephone_number": "585-323-1470",
            "fax_number": "585-323-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUFRYK",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RPH PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0322411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.