BLACK ROCK PHARMACY INC (NPI# 1568418614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568418614 |
| Entity Type | Organization |
| Organization Name | BLACK ROCK PHARMACY INC |
| Other Organization Name | BLACKROCK PHARMACY |
| Practice Address |
431 Tonawanda St Buffalo NY 14207-2625 |
| Practice Telephone | 7168763070 |
| Practice Fax Number | 7168767464 |
| Mailing Telephone | 7168763070 |
| Mailing Fax Number | 7168767464 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | BRADLEY ARTHUR (PRESIDENT) |
| Authorized Official Telephone | 7168763070 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
014228 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00591864 | 05 | |
| PK | 2059333 | 01 |
| Other Name | Type Code |
|---|---|
| BLACKROCK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917544 | Black Rock Pharmacy Inc | Pharmacy | 431 Tonawanda St, Buffalo, NY 14207-2625 | 2019-05-14 |
| Street Address |
431 TONAWANDA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14207-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917544 | Black Rock Pharmacy Inc | Pharmacy | 431 Tonawanda St, Buffalo, NY 14207-2625 | 2019-05-14 |
| 1336350685 | Bradley John Arthur | Pharmacist | 431 Tonawanda St, Buffalo, NY 14207-2625 | 2007-05-25 |
| 1801942115 | Michael A Manuszewski | Pharmacist | 431 Tonawanda St, Buffalo, NY 14207-2625 | 2007-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981595 | Shannon Nicole Johns | Doula | 191 Rebecca Park, Buffalo, NY 14207 | 2018-11-14 |
| 1225567654 | Sky Blue Transportation | Taxi | 276 Esser Avenue, Buffalo, NY 14207 | 2017-06-08 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1407107121 | Britney Sade Caldwell | Licensed Practical Nurse | 84 Chadduck Ave, Buffalo, NY 14207 | 2012-09-20 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| 1982834503 | Rebecca Lynn Blenski | Pharmacist | 801 Tonawanda Street, Buffalo, NY 14207 | 2009-07-16 |
| 1790920478 | Aspire Family Dental, Pllc | Dentist | 484 Ontario Street, Buffalo, NY 14207 | 2008-12-09 |
| 1447417746 | Michele Marie Taschetta | Licensed Practical Nurse | 79 Eckhert St, Buffalo, NY 14207 | 2008-05-22 |
| 1184831844 | Anacleto Jr Apostol Mangaser | Preventive Medicine | 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 | 2007-05-16 |
| Find all providers in zip 14207 | ||||
| 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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| 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 |
| 1730264946 | Parkside Pharmacy Inc | Pharmacy | 975 Broadway St, Buffalo, NY 14212-1317 | 2006-10-26 |
| 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.