Organization Active NPI

Pine Pharmacy of Niagara Falls,LLC

  • Community/Retail Pharmacy
  • Niagara Falls, NY
National Provider Identifier
1962638809
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PINE PHARMACY OF NIAGARA FALLS,LLC
Practice address
1806 Pine Ave
Niagara Falls, NY 14301-2234
Phone
(716) 282-1112
Fax
(716) 282-0654
NPI assigned
Jun 5, 2009
Organization subpart
Yes
Parent organization
PINE PHARMACY OF NIAGARA FALLS,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mr. Alfonse Muto, RPH
Title
RPH/Partner
Phone
(716) 282-1112

Specialties & licenses 1

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

Addresses

Primary practice location

1806 Pine Ave
Niagara Falls, NY 14301-2234

Mailing address

1806 Pine Ave
Niagara Falls, NY 14301-2234
Phone (716) 282-1112

National Provider Directory

National Provider Directory
Part of
Pine Pharmacy of Niagara Fallsllc

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1962638809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012234",
            "telephone_number": "716-282-1112",
            "fax_number": "716-282-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012234",
            "telephone_number": "716-282-1112",
            "fax_number": "716-282-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PHARMACY OF NIAGARA FALLS,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINE PHARMACY OF NIAGARA FALLS,LLC",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MUTO",
        "authorized_official_first_name": "ALFONSE",
        "authorized_official_title_or_position": "RPH/PARTNER",
        "authorized_official_telephone_number": "716-282-1112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.