Organization Active NPI

Lakewood Health Care CNTR Pharmacy

  • Long Term Care Pharmacy
  • Hamburg, NY
National Provider Identifier
1992716542
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
025091 Issued in NY
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3323590OtherOTHER 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.

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.

Verify at the official NPI Registry.