NPIMap

Organization Active NPI

Kaleida Health

Doing business as Kaleida Health Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, NY
National Provider Identifier
1992540546
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KALEIDA HEALTH
Doing business as
Kaleida Health Outpatient Pharmacy
Practice address
100 High St
Buffalo, NY 14203-1126
Phone
(716) 859-7034
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Jill Pogodozinski, RPH
Title
Director, Outpatient Pharmacy
Phone
(716) 859-7034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

100 High St
Buffalo, NY 14203-1126

Mailing address

100 High St
Buffalo, NY 14203-1126

Other names 1

  • Kaleida Health Outpatient Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250722003369 NY DME Supplier - Pharmacy 7810805280 Practice locations: Buffalo, NY
O20251216001328 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7810805280 Practice locations: Buffalo, NY

Other NPIs with the same Medicare PAC ID 8

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
Kaleida Health100 High St, Buffalo, NY 14203-1126(716) 859-1570 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Jack P Freer31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

100 High St
#A200
Buffalo, NY 14203
Phone (716) 859-1570

414 S Division St
Buffalo, NY 14204
Phone (716) 842-3002

590 Riley St
Buffalo, NY 14208
Phone (716) 887-8272

200 Sterling Dr
Ste 200
Orchard Park, NY 14127
Phone (716) 878-7000

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Kaleida HealthBuffalo, NY, CCN 330005 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1998
Kaleida HealthBuffalo, NY, CCN 33T005 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1998
Degraff Memorial Hospital-Skilled Nursing FacilityNorth Tonawanda, NY, CCN 335669 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1998
Highpointe on Michigan HCFBuffalo, NY, CCN 335834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 3, 2011
Visiting Nursing Association of Western New York, Inc.Cheektowaga, NY, CCN 337006 Home health agency 5% Or Greater Direct Ownership Interest Jan 9, 2007

Owned or controlled facilities with NPI records 10

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

Practitioners & affiliated clinicians

Practitioners 729

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 729

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1992540546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "POGODOZINSKI",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR, OUTPATIENT PHARMACY",
        "authorized_official_telephone_number": "716-859-7034",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaleida Health Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.