KELLY BLUM (NPI# 1619596558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619596558 |
| Entity Type | Individual |
| Full Name | KELLY BLUM |
| Credential | PHARMD |
| Practice Address |
1100 Main St # 120 Buffalo NY 14209-2308 |
| Practice Telephone | 8776626633 |
| Mailing Telephone | 8776626633 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 066523 | NY | Pharmacy Service Providers |
| Street Address |
1100 MAIN ST # 120 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365045 | Diana Erin Stewart | Pharmacist | 1100 Main St # 120, Buffalo, NY 14209-2308 | 2020-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807486 | Ilana Nicole Cypes | Pharmacist | Carlton St & Elm Street, Buffalo, NY 14263-0001 | 2020-06-29 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1023631967 | William Allan Prescott Jr. | Pharmacist | 218 Pharmacy Building, Buffalo, NY 14260-0001 | 2020-05-27 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1649800749 | Michelle Mayes | Pharmacist | 432 Porter Ave, Buffalo, NY 14201-1218 | 2020-01-17 |
| 1376193508 | Nicholas Michael Smith | Pharmacist | 701 Ellicott Street, Nys Center for Excellence, Buffalo, NY 14203-1101 | 2019-09-19 |
| 1366909558 | Mary Morehart | Pharmacist | 115 S. Hoy Suite A, Buffalo, OK 73834 | 2019-02-25 |
| 1104383546 | Qasim Abdulle | Pharmacist | 1050 Niagara St Ste 110, Buffalo, NY 14213-2007 | 2019-02-21 |
| 1780159293 | Stephanie M Englert | Pharmacist | 701 Seneca St Ste 205, Buffalo, NY 14210-1371 | 2018-10-11 |
| 1033691373 | Zachary Jw Alessi | Pharmacist | 1760 Wehrle Dr, Buffalo, NY 14221-7032 | 2018-09-04 |
| 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.