NPIMap

Organization Active NPI

Oncomed the Oncology Pharmacy of Buffalo Ny LLC

Doing business as Onco360

  • Specialty Pharmacy
  • Amherst, NY
National Provider Identifier
1871885798
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO NY LLC
Doing business as
Onco360
Practice address
140 John James Audubon Pkwy Ste 101
Amherst, NY 14228-1183
Phone
(877) 662-6633
Fax
(877) 662-6355
NPI assigned
May 11, 2011
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SINA DRUG CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Amy Konak
Title
VP, Reimbursement Revenue Cycle MG
Phone
(877) 662-6633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030717 NY
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

140 John James Audubon Pkwy Ste 101
Amherst, NY 14228-1183

Mailing address

13410 Eastpoint Centre Dr
Suite 101
Louisville, KY 40223-4160
Phone (877) 662-6633

Other names 1

  • Onco360 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110629000782 NY DME Supplier - Pharmacy 4688852247 Practice locations: Amherst, NY
O20230601001988 NY Part B Supplier - Pharmacy 4688852247 Practice locations: Amherst, NY

National Provider Directory

National Provider Directory
Tax ID family
Onco3602 organizations share this tax ID, including this one
Part of
Sina Drug LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

140 John James Audubon Pkwy
Amherst, NY 14228
Phone 87766266331786

140 John James Audubon Pkwy
Ste 101
Amherst, NY 14228

1100 Main St
#120
Buffalo, NY 14209
Phone 87766266331786

1100 Main St
Ste 120
Buffalo, NY 14209

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1871885798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633",
            "fax_number": "502-849-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHN JAMES AUDUBON PKWY STE 101",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281183",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO NY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINA DRUG CORP",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "KONAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP, REIMBURSEMENT REVENUE CYCLE MG",
        "authorized_official_telephone_number": "877-662-6633"
    },
    "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": "030717",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onco360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onco360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.