Active NPI
Nora Prendergast, PHARMD
- Community/Retail Pharmacy
- Buffalo, NY
National Provider Identifier
1972365120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 070706
- Practice address
- 137 Hodge Ave
Buffalo, NY 14222-2035 - Phone
- (631) 560-3884
- NPI assigned
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 070706 | NY | Primary |
Addresses
Primary practice location
137 Hodge Ave
Buffalo, NY 14222-2035
Mailing address
137 Hodge Ave
Buffalo, NY 14222-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070706 | NY | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1972365120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HODGE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HODGE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222035",
"telephone_number": "631-560-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "NORA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "070706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
- Myron Y Prawak, DO
- Theodore P Prawak, M.D.
- Premier Health Partners
- Premier Pharmacy LLC
- Premium Ppe, LLC
- Jeremiah Andrew Prentice
- Presbyterian Senior Care of Western New York, Inc. (Hawthorn Health Multicare Center for Living)
- Presbyterian Senior Care of Western New York, Inc. (Harbour Health Multicare Center for Living)
- Gina Marie Prescott, PHARM.D.
- William Allan Prescott Jr., PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.