TLC Health Network Outpatient Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

025264 Issued in NY

Legal business name

TLC HEALTH NETWORK OUTPATIENT PHARMACY

Practice address

845 Routes 5 & 20
Irving, NY 14081

Phone

(716) 951-7260

Fax

(716) 951-7262

NPI assigned

Jul 10, 2006

Organization subpart

No

Name

Mr. Eric Sturm, R.PH.

Title

Director of Pharmacy

Phone

(716) 951-7261

Tax ID family

TLC Health Network4 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.

• TLC Health Network

  • Adult Mental Health Clinic/Center
  • Irving, NY
  • NPI 1104142603
  NPD tax ID
• TLC Health Network

  • Rural Acute Care Hospital
  • Irving, NY
  • NPI 1548440506
  NPD tax ID
• TLC Health Network

  • Medicare Defined Swing Bed Hospital Unit
  • Irving, NY
  • NPI 1942691605
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2007.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1902830516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 ROUTES 5 & 20",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-951-7260",
            "fax_number": "716-951-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 ROUTES 5 & 20",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-951-7260",
            "fax_number": "716-951-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HEALTH NETWORK OUTPATIENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "STURM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "716-951-7261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "025264",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NY",
            "license": "025264",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025264",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NY",
            "license": "025264",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "025264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TLC Health Network
• TLC Health Network
• TLC Health Network
• TLC Health Network
• TLC Health Network
• Michael J Vito, DDS
• David P. Vona, DPM
• Mallory K Ward, PA
• Elona Michelle Wasik, RPH
• Nayomah Gail Wilson-Castle, MHC-P

• All providers in Irving, NY
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.