NPIMap

Organization Active NPI

Erie County Medical Center Corporation

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1922768621
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ERIE COUNTY MEDICAL CENTER CORPORATION
Practice address
462 Grider St RM 111-02D
Buffalo, NY 14215-3021
Phone
(716) 898-3727
NPI assigned
Dec 21, 2021
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Nicolette Wilson
Title
Vice President Revenue Cycle
Phone
(716) 898-3735

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

462 Grider St RM 111-02D
Buffalo, NY 14215-3021

Mailing address

462 Grider St RM 111-02D
Buffalo, NY 14215-3021
Phone (716) 898-3727

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220312000000 NY Part B Supplier - Pharmacy 1456308907 Practice locations: Buffalo, NY
O20220519000910 NY DME Supplier - Pharmacy 1456308907 Practice locations: Buffalo, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Erie County Medical Center Corporat462 Grider St, Buffalo, NY 14215-3021(716) 898-3285 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Erie County Medical Center Corporation9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1285 Main St
Buffalo, NY 14209
Phone (716) 883-4517

462 Grider St
Rm 11102D
Buffalo, NY 14215
Phone (716) 898-3727

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

5087 Broadway
Depew, NY 14043
Phone (716) 748-4930

5087 Broadway
Ste 400
Depew, NY 14043
Phone (716) 898-4930

2282 Elmwood Ave
Kenmore, NY 14217
Phone (716) 876-5536

3725 N Buffalo St
Ste D
Orchard Park, NY 14127
Phone (716) 508-4040

2005 Sheridan Dr
Tonawanda, NY 14223
Phone (716) 541-9102

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Erie County Medical Center CorporationBuffalo, NY, CCN 330219 Hospital Other (100%) Jul 22, 2003
Erie County Medical Center CorporationBuffalo, NY, CCN 33S219 Hospital Other (100%) Jul 1, 2012
Erie County Medical Center CorporationBuffalo, NY, CCN 33T219 Hospital Other (100%) Jul 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 345

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.

View all 345

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1922768621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST RM 111-02D",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST RM 111-02D",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE COUNTY MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT REVENUE CYCLE",
        "authorized_official_telephone_number": "716-898-3735"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.