NICKEL CITY PHARMACY INC (NPI# 1467566448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467566448 |
| Entity Type | Organization |
| Organization Name | NICKEL CITY PHARMACY INC |
| Other Organization Name | THE MEDICINE SHOPPE PHARMACY |
| Practice Address |
1791 S Park Ave Buffalo NY 14220-1411 |
| Practice Telephone | 7168238300 |
| Practice Fax Number | 7167734415 |
| Mailing Telephone | 7168238300 |
| Mailing Fax Number | 7167734415 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | CYRUS ARDALAN (MANAGER) |
| Authorized Official Telephone | 7168245200 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
027834 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2068106 | 01 | |
| NY | 2768812 | 05 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NICKEL CITY PHARMACY INC. | 5345 East River Road, Grand Island, Ny 14072 |
| Street Address |
1791 S PARK AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14220-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659650190 | Jonathan Nicholas Caruso | Pharmacist | 1791 S Park Ave, Buffalo, NY 14220-1411 | 2011-08-15 |
| 1235304338 | Tanya Marie Beck | Pharmacist | 1791 S Park Ave, Buffalo, NY 14220-1411 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450735 | Suburban Dentistry PC | Dental Hygienist | 1050 Abbott Road, Buffalo, NY 14220 | 2019-11-06 |
| 1912554155 | Christopher A. Grato | Technician | 134 Crystal Ave, Buffalo, NY 14220 | 2019-08-22 |
| 1942777081 | Marissa Edwards Sheehan | Student in an Organized Health Care Education/Training Program | 429 S. Legion Dr, Buffalo, NY 14220 | 2018-10-26 |
| 1235641515 | Cathleen Jo Lang | Registered Nurse | 43 Eaglewood Ave., Buffalo, NY 14220 | 2017-10-26 |
| 1659827889 | Kara Woodard | Nurse Practitioner | 565 Abbott Rd., Buffalo, NY 14220 | 2016-08-28 |
| 1902286230 | Ngoc Yen Pham | Obstetrics & Gynecology | 515 Abbott Rd Ste 302, Buffalo, NY 14220 | 2015-06-02 |
| 1396029260 | Tracy M Dargan | Registered Nurse | 789 Gilmore Avenue, North Tonawanda, NY 14220 | 2011-10-10 |
| 1447400544 | Sylvia Marie Vasconcellos | Registered Nurse | 515 Abbott Rd. / Suite 306, Buffalo Mercy Hospital, Buffalo, NY 14220 | 2008-09-25 |
| 1184755464 | Sisters of Mercy of The Americas | Speech-Language Pathologist | 625 Abbott Road, Buffalo, NY 14220 | 2007-03-08 |
| 1154480242 | Jadab K Bhattacharyya | Internal Medicine | 534 Abbott Rd, Buffalo, NY 14220 | 2006-12-06 |
| Find all providers in zip 14220 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1588947709 | Walgreen Co | Pharmacy | 1002 Highway 25 N, Buffalo, MN 55313-1920 | 2011-09-23 |
| 1346439924 | Seneca Pharmacy of Wny Inc | Pharmacy | 1979 Seneca St, Buffalo, NY 14210-2352 | 2007-10-18 |
| 1326111642 | Family Pharmaceutical Services, LLC | Pharmacy | 1001 Main St Fl 2, Buffalo, NY 14203-1009 | 2006-11-16 |
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| 1174617658 | Allscript Pharmacy,inc. | Pharmacy | 173 High Street, Buffalo, NY 14204 | 2006-10-02 |
| 1720187073 | Eckerd Corporation | Pharmacy | 202 W Utica St, Buffalo, NY 14222-2020 | 2006-09-22 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.