NPIMap

Organization Active NPI

Metcare RX Buffalo, Inc.

  • Clinic Pharmacy
  • Buffalo, NY
National Provider Identifier
1902828908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
025514 Issued in NY
Legal business name
METCARE RX BUFFALO, INC.
Practice address
462 Grider St
Driveway 1
Buffalo, NY 14215-3021
Phone
(716) 332-6811
Fax
(716) 332-6829
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gina Hunt
Title
Senior VP Corporate Revenue
Phone
(954) 653-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 025514 NY Primary

Addresses

Primary practice location

462 Grider St
Driveway 1
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Driveway 1
Buffalo, NY 14215-3021
Phone (716) 332-6811

Other identifiers 1

IdentifierTypeStateIssuer
02412673MedicaidNY

Other names 1

  • Metcare RX CHC Buffalo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metcare RX Buffalo Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902828908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DRIVEWAY 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-6811",
            "fax_number": "716-332-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DRIVEWAY 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-332-6811",
            "fax_number": "716-332-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE RX BUFFALO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SENIOR VP CORPORATE REVENUE",
        "authorized_official_telephone_number": "954-653-1040"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "025514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02412673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metcare RX CHC Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.