Active NPI
Lakewood Health Care CNTR Pharmacy
- Long Term Care Pharmacy
- Hamburg, NY
National Provider Identifier
1992716542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 025091
- Legal business name
- LAKEWOOD HEALTH CARE CNTR PHARMACY
- Practice address
- 5775 Maelou Dr
Hamburg, NY 14075-7419 - Phone
- (716) 648-2820
- Fax
- (716) 631-8732
- NPI assigned
- Aug 10, 2006
- Organization subpart
- Yes
- Parent organization
- LAKEWOOD HEALTH CARE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ludwig
- Title
- Dir
- Phone
- (716) 631-3381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 025091 | NY | Primary |
Addresses
Primary practice location
5775 Maelou Dr
Hamburg, NY 14075-7419
Mailing address
1142 Wehrle Dr
Williamsville, NY 14221-7748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3323590 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Part of
- Lakewood Health Care Center Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Hamburg, NY
- NPI 1679565550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1992716542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 WEHRLE DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 MAELOU DR",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140757419",
"telephone_number": "716-648-2820",
"fax_number": "716-631-8732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD HEALTH CARE CNTR PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKEWOOD HEALTH CARE CENTER",
"enumeration_date": "2006-08-10",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "LUDWIG",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIR",
"authorized_official_telephone_number": "716-631-3381"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NY",
"license": "025091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3323590",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.